HomeMy WebLinkAboutBuilding Permit Application May 18 2015 07:58AM HP FaxFl Delta 8662190880 page 2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED b 1)
q [Date: 5/1812015 Permit Number: �__�
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierre FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Plumbing
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Address: 8517 BELFRY PLACE
Legal Description: POD 28 AT THE RESERVE LOT 51
Property Tax[D#: 3327-701-0054-000-8 Lot No.51
Site Plan Name: Block No.
Project Name: ROBERT VICTOR
Setbacks Front Back: Right Side: Left Side:
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50 GAL ELEC WATER HEATER REPLACEMENT
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Additional work to e nFrformed under this permit'—c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric �Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: SQ.Ft.of First Floor:
11 Cost of Construction:$ 1410 Utilities Sewer QSeptfc Building Height:
61t
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Name ROBERT VICTOR Name: DIMITRE BOBEV
Address:116 CARRIAGE DR Company; FLORIDA DELTA MECHANICAL
City; PORTSMOUTH State:RI Address: 2716 BROADWAY CENTER BLVD
Zip Code: 02871 Fax: City: BRANDON State:FL
Phone No.401-559-8962 Zip Code: 33510 Fax: 866-219-0729
E-Ma 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$2500 or more,a RECORDED Notice of Commencement is required.
May 18 2015 08:04AM HP FaxF1 Delta 8662190880 page 3
MOM"A" t _ t r _ r �4ul -
DESIGNER/ENGINEER:
I ,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:
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 whi ch 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 inspection.qy9p intend to obtain financing,consult with lender or a 0.tJorney before
commencin .mwk or recorAi.aVvour Notice of Commencement.
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_Signature of ner/L e/Agent Signature of Co ' ctor/Li Hfflcler
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STATE OF FLOR , q STATE OF FLORIDA
COUNTY OF 1 '1f�c AC?I�1 COUNTY OF'_- i - 1 ��cd
The f+ooing instrument was acknowledged efore me The f rgoing instrument was acknowledged before me
this 11S_day of 20 }Yby this day of 20 i�:by
W1-11 '��dbev I D"ml�+r C IT)(3
(Name of person acknowledging) (Name of person acknowledging)
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415g�naw=8of Notary Pu o-Sta of Florida ) Signature Notary Public- ate 41orida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification tiProduced
Commission No. "��� C mission No. 1�Q t c (Seal)
NICOLE ZIEGENG IST
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