HomeMy WebLinkAboutBuilding Permit Application May 18 2015 08:04AM HP FaxFl Delta 8662190880 page 2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,cl q3
Date:
5118/2015 Permit Number:
0
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
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Address: 7228 MAIDSTONE DR
Legal Description: MAIDSTONE LOT 73
Property Tax ID#: 3322-505-0082-000-6 Lot No,73
Site Plan Name: Block No.
Project Name: CAROL ANDERSON
Setbacks Front Back: Right Side: Left Side:
t - _ I r_� I •;I I - r I s•�' r r4el.i s II 'I : !s '' Ir
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50 GAL ELEC WATER HEATER REPLACEMENT
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Adclitional wor to be
rtormed under this permit—check all that appy:
HVAC LJ Gas Tank ❑Gas Piping U _Shutters ❑Windows/Doors
Electric ®Plumbing ❑Sprinklers E]Generator ❑ Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 1158 Utilities Sewer❑Septic Building Height:
7 rl t
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NamerCAROL ANDERSON`�oName:+'DIMITRE BOB EV
Address:7228 MAIDSTONE DR Company: FLORIDA DELTA MECHANICAL
City: PORT SAINT LUCIE State:FL. Address: 2716 BROADWAY CENTER BLVD
Zip Code: 34986 Fax: City: BRANDON State:FL
Phone No.772-971-9441 Zip Code: 33510 Fax: 866-219-0729
E-Mail: Phone No. 866-219-0880
Fill in fee simple Title Holder on next page(if different E-Mail: FLPERMITS@DELTAMECHANICAL.COM
from the Owner listed above) State or County License: CFC1425917
If value of construction is$250D or more,a RECORDED Notice of Commencement is required.
May 18 2015 07:59AM HP FaxFl Delta 8662190880 page 3
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 holderto 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 ,inspectio ou intend to obtain financing,consult with lender or an tt ney before
comme, ork or r our Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Cont or/LiceniQ011older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF#-M-1DcY t-' 1C.
The f Ding instrument was acknowledgeVPefore me The forgoing instrument was acknowledged before me
this day of rN-)Q�1 - 20 by this_L�&day of CYVAA 20 i-Yby
CVs A-CQ- ')i�)Ob4e V
{Name of person acknowledging) (Name of person acknowledging)
(Signature NotaryPublic ate of F dda} (Signature NotaryPublic S e of Ft da)
Personally Known. OR Produced Identification Personally Known�_OR Produced Identification
Type of Identification Produced Type of identification Produced
Commission NoF�E00--h r- (Seal) Commission NoFF—I c;kO I kD (Seal)
• t�}pYV' sa!YRi!t''2ASHLEY NICOLEZiEGENGEISY
NtYCOMMiSSiG1N#FF72{I712 `1 '3 14rtYCOMMISSION#FFi207l2
Revised 07/15/2014 Y: �' +' r
F EXPIRES May 7,2Qy Soca EXPIRES May 7,2016
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS