HomeMy WebLinkAboutBuilding permit applicaitonALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: zo
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FC 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
Residential X
PERMIT APPLICATION FOR: Plumbing
i
PROPOSED IMPROVEMENT LOCATION:
Address: 5620 Spanish River Rd
Legal Description: PORTOFINO SHORES -PHASE THREE- (PB 43-40) LOT 245 (AOR 2449-171; 3288-1007)
Property Tax ID #: 1312-503-0051-000-7
Lot No.
Site Plan Name:
Block No.
Project Name: Joseph Noel
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK:
50GAL ELEC. WATER HEATER REPLACEMENT
CONSTRUCTION INFORMATION:
Additional work to be pertormed under tis permit —[ e[
all appy:
HVAC Gas Tank E]Gas Piping
_ Shutters Windows/Doors
aElectric OW Plumbing1:1 Sprinklers
E] Generator g Roof Roof pitch
Total Sq. Ft of Construction:
S. Ft. of First
Cost of Construction: $ 1853 Utilities:]
j'Floor:
Sewer 0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Joseph Noel
Name: Dmitre Bobev
Address: 5620 Spanish River Rd
Company: FLORIDA DELTA MECHANICAL
Address: 8402 Laurel Fair Cir Suite 111
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
City: Tampa State: FL
Phone No. 305-576-5481
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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
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 thepermit 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 f4st inspection. If you intend to obtain financing, consult with lender or an attorney before
con mencjig> vork ortrecorfte vour Notic&of Commencement -1 if
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/Lice se Ho der
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF r`
COUNTY OF r• S'
Theing instrum n was acknowledged before me
The fir rping instrument as acknowledged before me
thisfgrggday of 2020 by
this ` day of 20'LO by
_6a by)
't M r' n -'e, 6 a h w
Name of person making statement
Name of ;person making statement
Personally Known _4� OR Produced Identification
Personally Known 0( OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
!� Y C c C►iC 1�t �
c --r rk'a—
(Signature of N
(Signature of
ti EMILY H. M DINA
r< a;P.. EMILY H. MEDT
Commission No. ? `c, MYcaMMIS %APG 227056
June 1, 2022
�: My056
Commission NA_-
:o: EXPIRES:
; ES: June 1, 20
�,
odpy4• Thru Notary Public underwritersF'o'F
Bonded
F e°P Bonded ihru No Public Underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17