HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONDec 01 2014 13:15 HP FaxF1 Delta M62190880
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ALL APPI. ABL INFOCJNUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I - I SCANNED Permit Number: MI
BY
St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1S78 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
Address: 5505 DELEON AVE
Legal Description: LAKEWOOD PARK UNIT 2 ELK 161 LOT 9
Property Tax ID th 1301-614-M27-000.8
Site Plan Name-
Project Name: JAN CHIM
Setbacks Front Back:
Right Side: Left Side:
EELL}E�CCTRIIC,T,ANt�KK WATER HEATER REPLACEMENT
W q� -
L 1HVAC L_I Gas Tank UGas Piping
DElectric OPlumbing ❑Sprinklers
Total Sq. Ft of Construction:
Cost of Constniction: $ 564
Shutters
Generator
5 Ft. of First Floor:_
Utilities: Sewer Septic
Lot No. 9
Block No. 16
[:]Windows/Doors
0 Roof
Building Height:
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Name
Name: DIMITRE BOBEV
Address:
Company: FLORIDA DELTA MECHANICAL
City: State: FL
Zip Code: Fax:
Phone No.
Address: 2716 BROADWAY CENTER BLVD
City: BRANDON State: FL
Zip Code: 33510 Fax: 866-219-0729
Phone No. 866-219-08W
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
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
Dec 01 2014 13:15 HP FaxFl Delta 8662190880
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DESIGNER/ENGINEER:M _
Not Applicable
MORTGAGE COMPANY:
_Not Applicable
Name:
Name:
Address:
Address:
City:
State: _
City:
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not
Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 first inspectipU *you intend to obtain financing, cons with lendeligp attorney before
STATE OF FLORI
COUNTY OF 1�� rZ_,,l 1LCA�
The forgoing Instr ent was acknowledged before me
this 1 dayof�20 14 by
(Name of person acknowledging)
N I Ir LLIZ t
{Signature f Notary Public -State of Flari )
Personally Known �, OR Produced Identification _
Type of Identification Produ ,,,,.,,,,,�
ASHLEY NICOLE
Commission No.T"t���� i• LSeaIhMMlsslc
EXPIRES May 7.
Revised 07/15/2014
STATE OF FLO
COUNTY OF
The forgoing instrt en_t was acknc9mledged before me
this 1 day of i. �t"C• - 20_14 by
(N1 11ame of person acknowledging)
Notary Public -State of
Person ally Known _-&_ OR Produced Identification
rype of Identification Produced
mission
SHLE4WdLE ZIEGENGEIST
MY COMMISSION *FF120712
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