HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 21 1 -3 2-OW Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 6147 Arlington WAY
Legal Description: PORTOFINO SHORES (PB 43-6) LOT 167 (OR 3902-1258; 3941-421)
Property Tax ID #: 1312-501-0102-000-4
Site Plan Name:
Project Name: DUARTE
Setbacks Front Back
DETAILED DESCRIPTION OF WORK:
Right Side:
50 GAL ELEC WATER HEATER REPLACEMENT
Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to be rtormed un er th is permit — c ec a11 apply:
11HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
11 Electric I r Q Plumbing El Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:_
Cost of Construction: $ 1588
S Ft. of First Floor: _
Utilities:tSewer Oseptic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Adam E Bookspan
Name: DIMITRE BOBEV
Company: FLORIDA DELTA MECHANICAL
Address: 6147 Arlington WAY
City: FT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-291-8172
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: FLPERMITS@DELTAMECHANICAL.COM
State or County License: CFC1425917
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
it vdiue or consirucnon is ;)LSuu or more, a KtLUKULU Nonce 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 that
or and covenants 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 'rst inspection. If you intend to obtain financing, c It with ender r an attome efore
commen In work o recor in our Notic of Commenceme t.
t"- ��b �Vz
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF I� r /s a
COUNTY OF _ f C' as
The forgoing instrument was acknowledged before me
this _"1day of �, 20� by
The forgoing instrument was acknowledged before me
this �'] day of _ _ /� 2020 by
C h&o %t tJ
Name of person making statement
Name of person making statement
Personally Known a_ OR Produced Identification
Personally Known Of OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
{Signature of N� H. INA
.-, .• EMILY
(Signature of
•., EMIL
Commission No = - MY COMMISSf 227056
: «:
: F W COMMISSION # G 7056
Commission N ,- rr
_
,• :q: EXPIRES: June 11, 2022
a. o_ ES: June 1�
,• 'f OF sae' Bonded Thru Notary Public Underwriters•I•�;
OF f��4'• AOflded Thn1 Notary Public IifId2NA1�0S5
PLANS
VEGETATION
SEA TURTLE
MANGROVE
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17