HomeMy WebLinkAboutScanALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2' &1 4 Permit Number:
ti J _
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: 10 LAKE VISTA TRL 207
Legal Description: VISTA ST LUCIE BLDG 10 UNIT 207 (OR 3500-898)
Property Tax ID #: 3422-500-0140-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Gayle Nave
Setbacks Front Back: bight Side: Left Side:
DETAILED DESCRIPTION OF WORK:
30 GAL ELEC WATER HEATER REPLACEMENT
CONSTRUCTION INFORMATION:
Additional work to be Dertormedunder this permit — check all that apply:
OHVAC I _I Gas Tank Gas Piping Windows/Doors
_Shutters
Electric Plumbing L.__I Sprinklers Generator Roof Roof pitch
Total 5q. Ft of Construction: 5 Ft. of First Floor:
Cost of Construction: $ 1363 Utilities: Sewer ElSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Gayle Nave
Name: DIMITRE BOBEV
Address: 10 LAKE VISTA TRL 207
Company: FLORIDA DELTA MECHANICAL
City: PORT ST LUCIE State: FL
Address: 8402 LAUREL FAIR CIR SUITE 111
Zip Code: 34952 Fax:
City: TAMPA State: FL
Phone No. 617-312-1022
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
State or County License: CFC1425917
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 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 attgrn y before
comment' work o recor in olir Not' of Commencemen .
Rev. 8/2/27
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Signature Owner/ Le see/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA l
�/s'
COUNTY OF
COUNTY OF �/I' _
The forgoing instru nt was acknowledged before me
The for oing instrument was acknowledged before me
this � day of , 20