HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
S
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 5821 Spanish River Rd Fort Pierce, FL 34951
Legal Description: PORTOFINO SHORES -PHASE TWO- (P13 43-33) LOT 301 (OR 2344-2379)
Property Tax ID #: 1312-502-0125-000-4
Site Plan Name:
Project Name: ASPERVIL
Setbacks Front
Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: I
54 GAL ELEC WATER HEATER REPLACEMENT
CONSTRUCTION INFORMATION:
Additional work to D
orme un er t is permit — c ec a app y:
HVAC Gas Tank Gas Piping Shutters Windows/Doors
Electric ❑✓ Plumbing 11Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1355
S of First Floor -
Utilities -In _
Sewer E Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Willy J Aspervil
Name: DIMITRE BOSEV
Address: 5821 Spanish River Rd
Company: FLORIDA DELTA MECHANICAL
City: FT PIERCE State:FIL
Zip Code: 34951 Fax:
Phone No. 772-453-3981
E-Mail:
Address: 8402 LAUREL FAIR CIR 111
City: TAMPA State: FL
Zip Code: 33610 Fax: 866-219-0729
Phone No. 866-219-0880
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.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
GNER/ENGINEER:
Name:_
Address:
City:
Zip:
one
Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
Address:
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
Citv:
Zip: Phone:_
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
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 }obsite
before the �ff'Ii�[[st inspection. If you intend to obtain financing, consult with lender or an attorney before
commencvhg work orkecorftg your Notipeof CommencemerlX-1 r
r �11' Y'r �5bw
r
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Frolder
STATE OF FLORIDA
COUNTY OF (' l $
STATE OF FLORIDA
COUNTY OF
—
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 2 i day of om 20AI by
this )I day of �j( 20 Iq by
dal j'n I fiY , & bl�o
Name of person making statement
Name of perso making statement
Personally Known a OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
2nj
Produced
(signature of
(Signature of
Pr'• EMILY H. MENNA
Commission N :" `. ' "= k4MISS10 *Q, 227056
OEM,'; H.'i lfA
Commission N `,' Y COtt1h1W10 '7056
r�.M
EXPIRES: hens 11, 2C22
Thru NotaryPublir. Under 'tors
=1" -EX IRES: June 1�1,,
r onded lbru NoL,iry?ublic Underiaiters
; mayBonded
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17