HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a no Permit Number:
COC.I NTY �`
F L O R 1 D A
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) 462-1S78 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 350 Sunrise DR
Legal Description: TROPICAL ACRES BLK C LOTS 39, 40, 41 AND 42 (2.74 AC) (OR 349-1542)
PropertyTax ID #l: 2308-601-0206-000-0
Site Plan Name:
Project Name: Grady Tomlin
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 be ertormed under this permit — check all that apply:
EIHVAC Gas Tank Gas Piping _ Shutters Windows/Doors
11 Electric Plumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 1217
S Ft. of First Floor: _
Utilities:] Sewer 11 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Grady Tomlin
Name: DIMITRE BOBEV
Address: 350 Sunrise DR
Company: FLORIDA DELTA MECHANICAL
Address: 8402 LAURE; FAIR CIR SUITE 111
City: TAMPA State: FL
Zip Code: 33610 Fax: 866-219-0729
Phone No. 866-219-0880
City: FT PIERCE State: FL
Zip Code: 34945 Fax:
Phone No. 772-464-2181
E-Mail:
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 $2540 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERIENGINEER:
Name:
Address:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
Not Applicable
State
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:,
BONDING COMPANY:
Name:_
Address:
City:_
Zip: ____
Phone:
Not Applicable
e:
_Not Applicable
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 th Irst inspection. If you intend to obtain financing, co ult withrnder or an attorney efore
comme cin work dr recording vour Notice of Commencement. 1
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1,..' 9.4
4.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF- i uS
COUNTY OF
The forgoing instrument was acknowledged before me
The f going instrument was acknowledged before me
this I day of 20ZG by
this day of JCAn La2 2o2_0 by
D0111. arc,
Name of person making statement
Name of person making statement
Personally Known �_ OR Produced Identification
Personally Known & OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
15��
(Signature of o
(Signature of N ,�,PtateeFbw:_
Commission No. = MY CDMNi1J5e'�IWG'_227CS6
Commission N myC0MI%AQSI0Nf Y7056
EXPIRES: June 11, 2022
:; --XPIRES: June 11, 2022
Porcd Thru Mo'.arr;'u�". UlrFL'<�P1.II�ECS
, ryp:- ^d k im MOLT; 7011C Underwdtim
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17