HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ! �— –�%) �� 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: 5833 Honeybell Ct
Legal Description. THE GROVE CONDOMINIUM -SECTION ONE- UNIT 37C (OR 672-874; 3485-2061: 3610-1507; 3611-307, 308; 3853-243)
Property Tax ID #: 3410-507-0147-000-6
Site Plan Name:
Project Name: Janell Dickinson
Setbacks Front Back:.
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
38GAL ELEC WATER HEATER REPLACEMENT
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to ff
orme 'un er t is permit – c ec a appy:
HVAC Gas Tank E]Gas Piping _ Shutters Windows/Doors
Electric 0 Plumbing U Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: .
Cost of Construction: $ 1044
5 Ft. of First Floor:
Utilities: n
Sewer Lel Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Janell Dickinson
Name: DIMITRE BOBEV
Company: FLORIDA DELTA MECHANICAL
Address: 5833 Honeybell Ct
City: FT PIERCE State'.FIL
Address: 8402 LAUREL FAIR CIR 111
City: TAMPA State: FL
Zip Code: 34982 Fax:
Phone No. 772-203-8663
Zip Code: 33610 Fax: 866-219-0729
E -Mail:
Phone No. 866-219-0880
Fill in fee simple Title Holder on next page ( if different
E -Mail: FLPERMITS@DELTAMECHANICAL.COM
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:
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, consult with lender or an attorney before
commerKiW work cfr rec ing your Not a of Commencement.
1 1
/17
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature o n ra r i -e
STATE COUNTOY OF FLORIDA f 1/4 --
STATECOUNTY OF FLORIDAD
The f ing instru nt was acknowledged before me
this �ay of 20J by
The fo oing instru ent was acknowledged before me
this, gday of ��i 20_U by
/
+✓ '
Name of person making statement
Personally Known _a OR Produced Identification
Name of pers nn making statement
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
( nature of Notary P lic- State of Florida J
ignature of Not lic tate of Florida)
Commission N j'""j• `': EMILY H. h!F1l
:�. MISSIdN # GG 22705&
EXPIRES: June 11, 2:722
Bonded That No Public UndeE§
i�1 YP "•
Commission No. ". EMILY
:.: :•: COMMIS5�227056
+Fo£ F. P°. EXPIRES. June 11, 2022
°' Bonded Thru Nota Public U
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17