HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/23/2020 Permit Number:
- J
R i
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Building Permit Application
Address: 6605 Deland AVE Fort Pierce, FL 34951
Property Tax ID #: 1301-612-0335-000-3
Site Plan Name: Robert Lacerda
Project Name: Robert Lacerda
DETAILED DESCRIPTION OF WORK:
Commercial Residential X
40 GAL ELECTRIC WATER HEATER REPLACEMENT
CONSTRUCTION INFORMATION:
Lot No.19
Block No. 132
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _Shutters _ Windows/Doors
_ Electric )L Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: .
Cost of Construction: $ 1553
Sq. Ft, of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
NameV-ok2er+ L&c_er cJG
Name: DIMITRE BOBEV
Address:LqUo.,; E)e IC_nri Avg
Company:FLORIDADELTA MECHANICAL
City: for-t- {7i<r-C2 State: FL
Zip Code: 349 5 I Fax: -
Phone No. -9?— I
E-Mail:
Address:8406 LAUREL FAIR CIR
City: TAMPA State: FL
Zip Code: 33610 Fax: 866-219-0729
Phone No866-219-0880
E-Mail FLPERMITS@DELTAMECHANICAL.COM
State or County License CFC1425917
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
IT value or construction is 525UU or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice 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.
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOENDERIOR A ATTORNEY BEFORE RECORDING Y NOTIC9 OF COMMENCEMENV
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Signature of Owner/ Lessee/Contractor as Agent for Owner
—
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF r (+ S
COUNTY OF H I IS
The forgoing instrument was acknowledged before me
The forp�oing instrument was acknowledged before me
this IS day of _ ftWn I , 20 ZO by
this 23 day of 4 ,art• I . 20�& by
Name of person making statement.
Name of person making statement.
Personally Known OC OR Produced Identification
Personally Known 0< OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of !Votary gobi►�-fixate of Fld�itll�'} -M '
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(Signature of No + _ ask{ ri1A�t OINA
My coVUSSION # GG 227056
W( COMMISSION # GG 227056
Commission No. ;; net1,2022
EXP � '
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2022
Commission No. I;�: FXPIRES: j#
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.