HomeMy WebLinkAboutBuilding Permit Application May 21 2015 08:23AM HP FaxFl Delta 8662190880 page 1
ALL APPLICABL^IN O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: c Permit Number:
RJECE1117D WTI 1 N
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce A 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing -
-
'
Address: 780 E PRIMA VISTA BLVD
Legal Description: RIVER PARK UNIT 3 BILK 28 LOT 3
Property Tax ID#: 3419-515-0192-000-8 Lot No.3
Site Plan Name: Block No. 28
Project Name: DENNIS ANTHONY CARDIRCHE
Setbacks Front Back: Right Side: Left Side:
40 GAL ELEC WATER HEATER REPLACEMENT
"M 2211
NE. ..
It�ona wor to enerrormed under tispermit—c ec a appy:
HVAC Gas Tank EG-as Piprl
ing Shutters ❑Windows/Doors
13 Electric ✓_Plumbing Sprinklers CGenerator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 1014 Utilities:11 Sewer ElSeptic Building Height:
z 1 -
Name EAST PRIMA VISTA LLC Name: DIMITRE BOBEV
Address:2816 22RD ST Company: FLORIDA DELTA MECHANICAL
City: VERO BEACH State:FIL Address: 2716 BROADWAY CENTER BLVD
Zip Code: 32960 Fax: City: BRANDON State:FL
Phone No.917-400-2094 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$2500 or more,a RECORDED Notice of Commencement is required:
May 21 2015 08:23AM HP FaxFl Delta 8662190880 page 2
.a
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:
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)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 appllcations 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 inspectionii Ifu intend to obtain financing,consult with lender or orney before
commenci rk or re aur Notice of Commencement.
S
_Signature a caner/L see/Agent Signature of ContractorJLic nse Holder
STATE OF FLORtDA. STATE OF FLOIitI
COUNTY OF "k :)Lka COUNTY OFA —
Th=day
ing instrument was acknowledged before me The fo oing instrument was acknowledged before me
tt of T _, 20 �y thisa day of ¢�d G t- 24 1�by
p it 1 1 tf
(Name of person acknowledging) (Name of person acknowledging)
7,- *
(Signature of tary Public-Stat of Florl } (signature of Wary Public-Sta of Flori )
Personally Known .,_/1 OR Produced Identification Personally Known OR Produced Identification
Type.of Identification Produced Type of identification Produced
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