HomeMy WebLinkAboutBuilding Permit Application Aug 31 2015 08:27AM HP FaxR Delta 8662190880 page 1
ALL APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED pp
Date: �j Permit Number: t �
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 8208 E Bitterbush Lane
Legal Description: Savanna Club-Plat one-blk 2 lot 25(OR 881-1781: 1192-1826)
Property Tax ID#: 3425-701-0069-000-7 Lot No.25
Site Plan Name: Florida Delta Mechanical Block No. 2
Project Name: Blaine Smith
Setbacks Front Back: Right Side: Left Side:
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30 Gallon Electric Water Heater Replacement Like for Like
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Additionalworkl0benertormeaunciertnis permit—checka apply:
HVAC Gas Tank oGas Piping _Shutters (['Windows Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 1053 Utilities:0Sewer F]Septic Building Height:
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Name Frank Smith Name: Dimitre Bobev
Address:635 Blacklick Street Company: Florida Delta Mechanical
City: Groveport State:0H Address: 2716 Broadway Center Blvd
Zip Code: 43125 Fax: City: Brandon State:FI
Phone No.614-746-1738 Zip Code: 33510 Fax: 856-219-0729
E-Mail: Phone No. 866-219-0880
Fill in fee simple Title Bolder on next page(if different E-Mail: flpermits@deltamechanical.00m
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.
Aug 31 2016 08:27AM HP FaxFl Delta 8662190880 page 2
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DESIGNS 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 apermitwill authorize the permit holderto build the subject structure
which is in conflict with any applicable Horne Owners Association rules,bylaws or and covenants that may restrict or prohibit-such
structure.Please consult with your Horne Owners Association and review your deed far 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 Amend ments,
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 fir inspection. If y, a intend to obtain financing,consult w' lender or an a orney before
commenci .Work or r coy i our Notice of Commencement. t� 4'
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—Signature of Owner/Lessee/Agent Signature of Contractor/Lice se Hol er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Husborough COUNTY OF Hillsborough
Theforgoing instrume t was acknowledged before me The forgoing instrument was acknowledged before me
this l day of U.gi 6+ . 20 aby this3"day of Agus 20 15 by
Dimire sobav .1 Dlmltre Sobev
(Name of person acknowledging) (Name of person acknowledging)
(Sign ture of Notary Public-State of Florida) (Sign ure of Notary Public State of Florida j
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
av° JAN15 A KINDER
fi'00,vas JANNIS A.KINDER �p"`��`'
Commission No. EE�e2aas 5 Commission No, EE162848 r (&96WMi8SI0N9EE162848
�Il}GOMM18514N PEE 162848 * EXPIRES:February fd,2018
s EXPIRES:February--14,2018 �?� �� EXPIRES: u binary 14,2 16
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS