HomeMy WebLinkAboutBuilding Permit Application Oct 07 2015 05:40PM HP Fax 9543847723 page 1
ALL APPLICABLE INFO )UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: 1 S Permit Number:
i
�a
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
Address: 7206 BROOKLINE AVE
Legal Description: LAKEWOOD PARK UNIT 9 BLK 107 LOT 1
Property Tax ID#: 1301-611-0148-000-2 Lot No.1
Site Plan Name: Block No. 107
Project Name: SONJA EHLE
Setbacks Front Back: Right Side: Left Side:
III { - 11 N"91110091111-ma r, .. `i 9II��A61.GTi',i a ,�71_. mgIj
40 GAL ELEC WATER HEATER REPLACEMENT
vg
Will
itione war to e e orme un er t is permrl—c ec a appy:
OHVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
_
Electric Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 1068 UtilitiestSewer 0Septic Building Height:
11l0�.1 ,..iY
Name SONJA EHLE Name: DIMITRE BOBEV
Address:7206 BROOKLINE AVE Company: FLORIDA DELTA MECHANICAL
City: FORT PIERCE State:FL Address: 2716 BROADWAY CENTER BLVD
Zip Code: 34951 Fax: City: BRANDON State:FL
Phone No.772-480-9342 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@DELTAMECHANIAL.COM
from the Owner listed above) State or County License::CFC1425917
It value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Oct 07 2015 05:40PM HP Fax 9543847723 page 2
. gym:...:_t.,—r a, �'�Y�llc.�. _�— 3 .' i •,u iia's;`i +- :�,.
r ,
�F r
... m.mr i H..d:�l n��. f'tii ra ..r .r :a n- + .- ... r§! !- ��r.���x�.Gu#f{!i.r3ul Yi!*`d�'.. N8. e•... 1 5rr
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 chat 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. If you intend to obtain financing,consult with lender or an attorney before
commencin o or reccirding Vfur Notice of Commencement.
I
_Signature of ner/Lesse Agent Signature of Cont ctor/Licens Hold
STATE OF FLORIDA ` I I STATE OF FLORIDA, r t
COUNTY OF I 1 COUNTY OF'
F �1_S
The f ping instru a was acknowledged��be.fore me The for ping instrumennnt was acknowledged efore me
this I day of 20 J�by this�day of 60jL- 20 by
1QM1
(Name of person acknowledging) (Name of person acknowledging)
Signature if Notary Public-St a of Flo a) Signatur f Notary Pubic-S e of F ida}
Personally Known_ OR Produced Identification Personally Known Y,-- OR Produced Identification
Type of identification Produced Type of Identification Produced
Commission No.��� (Seal) Commission NoA9014--6f (Seal)
ICOLEZIE,G.ENGEIST i
My COMMISSION#FF120712
Revised 07/15/2014 MY COMMISSION#kFF120712 noFFiw, � FXPIRE^�7 Ma ,
EXPIRES Ma Y 7 201a
!ao 896-01133or dallote Seryice.com
Flor dallotaryService.co
REVIEWS FRONT ZONING NS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS