HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO
rr MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ZY Z Coo Permit Number:
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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: 122 Ocean Bay DR
Legal Description: OCEAN BAY VILLAS (OR 2627-1946) UNIT 122 (OR 3605-144)
Property Tax ID #: 3522-608-0016-000-3
Site Plan Name:
Project Name: WELLONS
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
50 GAL ELEC WATER HEATER REPLACEMENT
Lot No._
Block No.
CONSTRUCTION INFORMATION:
Additional work to e erformed under this permit — check a apply:
C�HVAC Gas Tank Gas Piping _ Shutters Windows/Doors
Electric ❑✓` Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1593
S Ft. of First Floor: _
Utilities,
E Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Terry A Wel Ions
Name: DIMITRE BOBEV
Company: FLORIDA DELTA MECHANICAL
Address: 8402 LAUREL FAIR CIR 111
Address: 122 Ocean Bay DR
City: JENSON BEACH State: FL
Zip Code: 34957 Fax:
Phone No. 305-281-0937
City: TAMPA State: FL
Zip Code: 33610 Fax: 866-219-0729
Phone No. 866-219-0880
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
11 varur ui cumarucuon is ;)c5uu or more, a KtLVKutu Notice of commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
Address:
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 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 o your property. A Notice of C mmencement must be recorded and posted on the jobsite
before the fi t i s Qecti+. If yo intepd to plStain financing, consult with lender or an attorney before
commencin wok r re¢ordin ouVAotiR4 of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signatur f ontract r/Licen a Ho er
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF_ [ S _.
COUNTY OF
The f4gying instrument was acknowledged before me
G(
The far oing instrument was acknowledged before me
Z day iri'O12t1
this ay of j'GL/j 26?Oby
this of , 2DZQby
Name of person making statement
Name of person making statement
Personally Known __0( OR Produced Identification
Personally Known _a OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
&A14 0"n-
—
(Signature of Notary P
(Signature
1„a+•Pii'••. EMILY H. MEDINA
=:
:MyC SION#GG227D56
Commission No.
, L
,: MY COMMISSION # GS} 22i ()56
Commission :: l3 i)
o`= EXPIRES: June 11, 2D22
Bonded Thru Notary Public Underwriters
S: Junne 11,
. •�1`oF FLOP, Qonded Thru Notary Public t�rdeRwRer5
Bonded
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17