HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
- J._ ,s
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: 1936 Wyoming Ave
Legal Description: ORANGE BLOSSOM ESTATES FIRST ADDN BLK 1 LOT 1 B-LESS N 5 FT OFE 67.58 FT AND LESS N T3 FT OF W 45 FT, (6,24 AC) (OR 3352-1152)
Property Tax ID #: 2421-602-0018-000-6
Site Plan Name:
Project Name: Evan D Jones
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
40 GAL ELEC WATER HEATER REPLACEMENT
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit — check a apply:
E1HVAC 11 Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
11 Electric 21 Plumbing U Sprinklers Generator Roof Roof pitch
Total Sq_ Ft of Construction:
Cost of Construction: $ 1390
50. Ft. of First Floor: _
Utilities: Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Evan D Jones
Name: DIMITRE BOBEV
Address: 1936 Wyoming Ave
Company: FLORIDA DELTA MECHANICAL
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-979-4317
Address: 8402 LAUREL FAIR CIR 111
City: TAMPA State: FL
Zip Code: 33610 Fax: 866-219-0729
Phone No. 866-219-0880
E-Mail. FLPERMITS@DELTAMECHAMCAL.COM
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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 MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City:
State: City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
t1VVNtK/ 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 t e first inspection. If yop intend to obtain financing, co t with I der an attorney- fore
comet nc worlor reording your Wice of Commencemen
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
thiday of {� (ll j 20� ] by
c_
Name of person malting statement
Personally Known __ 2rL OR Produced Identification
Type of Identification
Ploduced
Signature of Contractor/License Holder
STATE OF FLORID II
COUNTY OF- i l I S
The forgj,ng instrument was acknowledged efore me
this iday of 2a�jby
Name of person making statement
Personally Known - (:)e OR Produced Identification
Type of Identification
Produced
{Signature of No
[Signature of Not
ENaILY H. ! EI)INA
��
EMILY H. MEDINA
Commission No.
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Commission No.
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IE RES. June 11, 2022
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EXPIRES; Ie ii, 2022
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REVIEWS
FRONT
ZONING SUPERVISOR
PLANS VEGETATION
SEA TURTLE MANGROVE
COUNTER
REVIEW REVIEW
REVIEW REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17