HomeMy WebLinkAboutScanALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11 —20— ZOO Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 3704 Fetterbush CT t Of } .! L.kf, E, SQ967Z
Legal Description: THE PRESERVE AT SAVANNA CLUB- BLK 45 LOT 12 (OR 3674-694)
Property Tax ID #: 3425-706-0024-000-5
Site Plan Name:
Project Name: LEES
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: I
40 GAL ELEC WATER HEATER REPLACEMENT
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit —check all appy:
a'HVAC Gas Tank E]Gas Piping _ Shutters ❑ Windows/Doors
11Electric Plumbing 11 Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1234
So. Ft. of First Floor -
Utilities: 0 Sewer
loor:Utilities:0Sewer OSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DAVID LEES
Name. DIMITRE BOBEV
Company: FLORIDA DELTA MECHANICAL
Address: 8402 LAUREL FAIR CIR 111
City: TAMPA State: FL
Zip Code: 33610 Fax: 866-219-0729
Phone No. 866-219-0880
Address: 3704 Fetterhush CT
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 585-857-0952
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: FLPERMITS@DELTAMECHANICAL.COM
State or County License: CFC1425917
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City: _
Zip: Phone:
City:.
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, co,�ylt with)ender or an attorney before
commenciiw work or recordine your Notice of Commencement. 1 ! /1
Rev. 8/2/17
r
Signature f Owner/ ssee/ ntr o as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
I I S
STATE OF FLORIDA
S
COUNTY OF t:A k
COUNTY OF
The far ing instrument was acknowledged efore me
The for g instrument was acknowledge efore me
this ay of «�}� 2b� by
this ay of �� Q� 2D by
—
01 ml V9
r�) } h<
Name of person making statement
Name of per on making statement
Personally Known 0� OR Produced Identification
Personally Known C4 OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
i
(Signature of Nota
r _ EMILY H. MEdIi3A
(Signature of
° - . EMILY N. M oi, IA
Commission No. is =: MY CQhi�IaN # GG 227056
05G
Comm �~ .. MY COMMISSION 056
EX 7(PIKES: June 11, 2022EiCPittES:
Bonded Thru Notnr� Public Under niters
June
Bonded Thru Notary Pubszn Underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17