HomeMy WebLinkAboutBuilding Permit Application Oct 19 2015 02:25PM HP Fax 9543847723 page 1
ALL APPLIC BLE I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED rr
Date: O Permit Number:
RECEIV=D OCT 19 1015
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: 70000 EDEN RD
Legal Description: LAKEWOOD PARK UNIT 125 ELK 12
Property Tax ID li: 1301-614-0200-000-4 Lot No. 12
Site Plan Name: Block No. 165
Project Name: TOM CHRISTOPHER
Setbacks Front Back: Right Side: Left Side:
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50 GAL ELEC WATER HEATER REPLACEMENT
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0111011 Additionalworkto Orme under tis permit— appy:
HVAC FGasTank _❑ g Shutters
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Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 5 Ft. of First Floor:
Cost of Construction:$ 716 Utilities: Sewer Septic Building Height:
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Name CHARLES CHRISTOPHER Name: DIMITRE BOBEV
Address:7000 EDEN RD Company: FLORIDA DELTA MECHANICAL
City: FORT PIERCE State:FL Address: 2716 BROADWAY CENTER BLVD
Zip Code: 34951 Fax: City: BRANDON State:FL
Phone No.772-465-5669 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: CPC1425917
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Oct 19 2015 02:25PM HP Fax 9543847723 page 2
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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: TNot Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced p rior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize thepermit 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 prohiblt 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 exemptfrom 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
commenci ork or recordift vour Notice of Commencement.
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_Signatur f`O` ner L. see/A en Signature of Con actor/Lice Hold
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ( U COUNTY OF
The f oing lnstrume t was acknowledge cj�el ore me The oing instrument was acknowledged before me
this day of ( + 20 //_��__by this ay of (Li 20 ,f�by
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(Name of person acknowledging) (Name of person acknowledging
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Notary Public-St a of Flo r a) Signature I
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Personally Known OR Produced Identification Personally Known %'-J—
X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission Na. "YDS ssian No: t°. 1 HLEIf NICOLEZIEG GEIST
LEY NICOLE ZIE(I QEIST
t' MY COMMISSION# 1 0
('i ;Q j MY COMMISSION#F 20712
EXO RES May 7, 201 a opib,,r EXPIRES May 7, 018
Revised 07/15/2014 (407)398-0153 FlorldallotarySErvlce.com
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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