HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: qI/s zozo 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: 3408 Red Tailed Hawk DR
Legal Description: FAIRWAYS AT SAVANNA CLUB REPLAT NO. 1 (PB 57-40) BLK 70 LOT 8 (OR 2572-
Property Tax ID #: 3424-800-0078-000-4
Lot No.
Site Plan Name: Block No.
Project Name: R J Birrittella
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TANKLESS ELEC WATER HEATER REPLACEMENT
CONSTRUCTION INFORMATION:
Additional work to be performedunder this permit — check all that apply:
�HVAC L_J Gas Tank Gas Piping _ Shutters Windows/Doors
Electric 0✓ Plumbing 11 Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 904
5 Ft. of First Floor: _
Utilities:] Sewer O Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name R J Birrittella
Name: Dmitre Bobev
Address: 3408 Red Tailed Hawk DR
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, 772-446-9150
Zip Code: 33610 Fax: 866-219-0729
Phone No. 866-219-0880
E-Mail: FLPERMITS@DELTAMECHANICAL.COM
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CFC1425917
It 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:
Zip: Phone:
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 A st inspection. If you intend to obtain financing, consult with lender or an attorney before
commencifig Work or ecorftg your Notic of Commencemen .
4 ( �-' �. -V ��b &/, -
U r -9�
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/Lice se Ho der
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 1 S
COUNTY OF —I
The f�r�9ing instrum n was acknowledged before me
The for ing instrument as acknowledged before me
this G5 day of 20� by
this day of 20�A by
�f ►�� ��-� �� �,�,
p, ,� � � ram, � � h
Name of person making statement
Name of person making statement
Personally Known 42( OR Produced Identification
Personally Known (:X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
—/
(Signature of N
(Signature of
; �P� •.. EMILY H. M DINA
4'�
a Pu •, EMILY H. MEDI
�5r
`a `- MY COMMIS �I G 227056
No. .:
MY COMMISSION 56Commission
Commission N =' ._��3
o`c EXPIRES: June 1, 2022
ia: :o; E 1RES: June 1, 2!20
Bonded Thru Notary Public Underwrites
' •'FOF d4�° ' Bonded Thru Notary Public Unvrtters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17