HomeMy WebLinkAboutBuilding PermitALL APPLICII A LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: k ZOZo Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade 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: 6781 Taro St
Legal Description: PARKWAY GROVE ESTATES -UNIT 1- BLK 3 W 40 FT OF LOT 6 AND E 60 FTOF LOT
Property Tax ID #: 2313-701-0005-000-4
Site Plan Name:
Project Name: Daniel Davis
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 e e orme under this permit — chock a app y:
1JHVAC [] Gas Tank ❑Gas Piping _ Shutters Windows/Doors
Electric Z Plumbing Sprinklers Generator Roof Roof pitch
Total Sq_ Ft of Construction:
Cost of Construction: $ 1448
5 Ft. of First Floor: _
Utilities:11 Sewer 11 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Daniel Davis
Address: 6781 Taro St
Name: DIMITRE BOBEV
Company: FLORIDA DELTA MECHANICAL
Address: 8402 LAUREL FAIR CIR SUITE 111
City: FORT PIRECE State:FIL
Zip Code. 34945 Fax:
Phone No. 772-940-2304
E-Mail:
City: TAMPA State: FL
Zip Code: 33610 Fax. 866-219-0729
Phone No. 866-219-0880
E-Mail: FLPERMITS@OELTAMECHANICAL.COM
State or County License: CFC1425917
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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:
City: State:
Zip: Phone
Address:
City: TAMPA State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
BONDING COMPANY: Not Applicable
Name:
Address:
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 t inspec ion. If ou intend to obtain financing, consult with lender or an attorney before
comment' ork or recor g your Notic of Commencement.
91
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature o Con tracto rALices d
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF a
COUNTY OF H.. Iis
The fo oing instru ent was acknowledged before me
�
The fo ing instrum nt was acknowledged before me
day ii l 2020 by
this day of 20ZO by
this _ of ,
err t` C, o)
d1 M 1, R-c._ b t,L-
Name of per}on making statement
Name of pers n making statement
9
Personally Known 4/� OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of No
(Signature of Notary lic- State of Florida )
EMILYH ��M��E11 INA
Commission No. ry
c ' OMM15S��1�7d G 2 7056
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Commission No.
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*_ MYCOM ISSIO #GG227056
EXPIRES: June 11, 2022
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�= EXPIRES: June 11, 2022
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ci'ft4? Bonded Thru Notar Public Undervidlers
Bonded Thru Ncta Pub!ic
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17