HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO
7MUST
r�BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �' (�V V 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: 17 CASTLE CT
Legal Description: QUEENS COVE -UNIT 1- BLK 19 LOT F(CR 3732-416)
Property Tax ID #: 1414-701-0189-000-4
Site Plan Name:
Project Name: David M Baselice
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
50 GAL ELEC WATER HEATER REPLACEMENT
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit — c ec a[1 apply:
�HVAC 11 Gas Tank Gas Piping Shutters Windows/Doors
Electric ❑� Plumbing 05prinkfers I Generator 0 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1478
S Ft. of First Floor:
UtilitiestSewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name David M Baselice
Name: DIMITRE BOBEV
Address: 17 CASTLE CT
Company: FLORIDA DELTA MECHANICAL
City: FT PIERCE State: FL
Zip Code: 34949 Fax:
Phone No. 706-394-8871
Address: 8402 LAUREL FAIR CIR SUITE 111
City: TAMPA State: FL
Zip Code: 33610 Fax: 866-219-0729
Phone No. 866-219-0880
E-Mail:
Fill in fee simple Title Holder on next page i if different
from the Owner listed above)
E-Mail: FLPERMITS@DELTAMECHANICAL.COM
State or County License: CFC1425917
VPWC V w113u uLuU11 a .?cjuu ur more, a Rewrcuru neouce or commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
State
MORTGAGE COMPANY:
Name:
Address:
City:
Not Applicable
State:
Zip: Phone:
Not Applicable 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 jobsite
before the fy�t inspec on. If you intend to obtain financing, consult with lender or an attorney before
commencirmz Work or recorcift your Notice"of Commencement.
Signature of owner/ Lessee/Contractor as Agent for Owner I Signature 64 tontracto
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF _. ti l' 11S _ COUNTY OF_ _ _±-V 115
The forgoing instru ent was acknowledged before me
this _Lq day of 2020 by
Name of person making statement
Personally Known 0Z OR Produced Identification
Type of Identification
Produced
The f r oing instr ment was acknowledged before me
this 1 day of 26ZO by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
{Signature of Nota
(Signature of Not
rr
.. ' ..
EMILY H. MEDINA
EMILY H. EDINA
Commission No.
COMMI1§9144�1 # GG 22705b
Commission No.
�, MYCOMMIS51 227056
EXPIRES: June 11, 2022
:;,,f oe IRES: ne 2022
'' Bonded Thru Wary Public Underwriters
Bonded Thru Notary Publir, Underxrilers
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
RECEIVED
DATE
IT
Rev. 8/2/17