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HomeMy WebLinkAboutScanALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: `1'� ��-b Permit Number: 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: 311 Olive AVE Legal Description: RIVER PARK -UNIT 2- BLK 12 LOT 17(MAP 34/22N) (OR 3878-2068) Property Tax ID #: 3419-510-0089-000-8 Site Plan Name: Project Name: Meghan Lockhart Setbacks Front Back: Right Side: Left Side: Lot No. Block No. I DETAILED DESCRIPTION OF WORK: I 40 GAL ELECTRIC WATER HEATER REPLACEMENT CONSTRUCTION INFORMATION: Additional work to be e rmed under this permit - check all apply: HVAC Gas Tank Gas Piping _Shutters ❑ Windows/Doors EjElectric Plumbing Sprinklers Generator 0 Roof Roof pitch Total Sq. Ft of Construction: _ Cost of Construction: $ 1378 SFt. of First Floor: _ Utilities: Sewer []Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Meghan Lockhart Name: DIMITRE B©BEV Address: 311 Olive AVE Company: FLORIDA DELTA MECHANICAL City: PORT SAINT LUCIE State: FL Address: 8402 LAUREL FAIR CIR SUITE 111 Zip Code: 34952 Fax: City: TAMPA State: FL Phone No. 772-333-6430 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 E -Mail: FLPERMITS@DELTAMECHANICAL.COM State or County License: CFC1425917 from the Owner listed above) IT value of construction is W500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAWN 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: BONDING COMPANY: Not Applicable Name: Address: 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 fiat inspection. If you intend to obtain financing, consult with lender or an attorney before commencirie viork or rkcordi 1� vour NoticP''of Commencement. r1 r Rev. 8/2/17 Signature of Owner/ Lessee/Contractor as Agent for Owner Signature ot Contractor License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF -- t:lc tt S COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 2 ( day of n 4 20 O by this �L day of 20 U by Name of person making statement Name of person making statement Personally Known ip< OR Produced Identification Personally Known 0_ OR Produced Identification Type of Identification Type of Identification Produced Produced {Signature of {Signature of114P l EpINA Commission No. .: ;.: M` COMMIspoN,I� GG 227056 a: EXPiREB' 11, 2022 ;«_ My COMMWIoN # GG 227056 Commission N80P—ES: Ju � 2 Bonded lino Notary Public UndeEvrtl4as '',� o?: PuDllc Undetwtlters •,,od b,, Bonded Thru Notary REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE {MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17