HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONJan 07 2015 08:37 HP FaxFl Delta 8662190880 page 1
ALL APPL CA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED o -0-S-V
V/ Permit Number: V
Date:' SCANNED
BY
St. Lucie Count
Building Perkt Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 X
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Plumbing
Address: 9017 SHORT CHIP CIR
Legal Description: LAKES AT PGAVILLAGAE
Lot No. 36
Property Tax ID #: 3334-501-0174-000-3
D
Block No.
Site Plan Name:
Project Name: MATTHEW MCGINNIS
Setbacks Front Back:_Right Side Left Side
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ELECTRIC TANK WATER HEATER REPLACEMENT
ELECTRICAL PERMIT NUMBER- 14-120304
VAN
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Itlona wor to e e orme un ert ispermit—c ec a appY
Qwindows/Doors
Gas Tank E]Gas Piping _ Shutters
HVAC
Electric. Plumbing QSprinkiers Generator 0 Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
$ 597 utilities Sewer 0 Septic Building Height:
Cost of Construction:
Name MATTHEW MCGINNIS
Address'. 9017 SHORT CHIP CIR
City: PORT SAINT LUCIE State: FL
Zip Code: _ Fax:
Phone No. 732-245-8804
E-Mail:
Fill in fee simple Title Holder on next page i if different
from the Owner listed above)
Name: DIMITRE BOBEV
Company: FLORIDA DELTA MECHANICAL
Address: 2716 BROADWAY CENTER BLVD
City: BRANDON State: FL
ip Code: 33510 Fax: 666-219-0729
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Phone No, 866-219-08BO
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.
Jan 07 2015 08:37 HP FaxFl Delta QC-F?.190880
page 2
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DESIGNER/ENGINEER:
^ 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 accor nce with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foll ing building permit applications are exempt from undergoing a full concurrency review: room additions,
accesso structures, swimming pools, fences, walls, signs, screen rooms anNaccessory uses to another non-residential use
WARNS TO 011111LIKER. YouLuillure to Reco-a-•Notice of Comm
improv nts to y prope y. A e of Commencement
before first insp ' 'on ntend to obtain financing, c
commen i e giork or ng your Notice of Commenceme
Signature of wner/ A�e�tt/ Lessee Signature I
STATE OF F ORRI�► STATE 01
COUNTY OF _ Tff�1C -14r,' . COUNTY
The f rgoing Instrument was acknowledged before me
this'll day of :Tan -= 20 f . by
/' %� f0
(Name of person acknowledging)
dj)IA� 7--1
{Signat of Notary Publ - Stat f Florida )
Personally Known _ �><_ OR Produced Identification
Type of Identification Produced
Commission No. ` P ir
ry���'g�� piCpiEZIEGEN
a;
+= MY COMMISSION #FF1'
Revised 07/15/2014 . t07'j9"1sa
ement may result in your paying twice for
st be recorded alnd posted on the jobsite
ult;with I ra ttorneybefore
The f ing lhstr t Wasacknowledged before me
this day f 20__Sby
(Name of person acknowledging)
Notan&ublij State of Florida )
Personally Known V_ OR Produced Identification
Type of Identification Produced
12
n No.t J-_- d Q Il t° of (Seal)
MY COMMISSION #FF1207
EXPIRES May 7, 201
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS