HomeMy WebLinkAboutBuilding Permit Application Nov 02 2015 05:03PM HP Fax 9543847723 page 1
ALL APPLICABLE INFO BE COMPLETED FOR APPLICATION TO BE ACCEPTED / —Q
Date: Permit Number: I
•
Building Permit Application
Planning and Development Services
Building and Code Hegulatlon Division
2300 Virglnla Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
Address: 4160 N HIGHWAY AIA UNIT 205 SOUTH
Legal Description: OCEANIQUE OCEANFRONT BLDG A UNIT 205
Property Tax ID#: 1423-506-0005-000-0 Lot No,
Site Plan Name: Block No.
Project Name: ALAN AMARAL
Setbacks Front Back: Right Side: Left Side:
50 GAL ELEC WATER HEATER REPLACEMENT
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91
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Additional work to be .performed under this permit—check all
a appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing []Sprinklers 1.1 Generator L Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1347 Utilities:11 Sewer Septic Building Height:
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NameALANAMARAL Name: DIMITE BOBEV
Address:4160 N HIGHWAY A1A UNIT 205 SOUTH Company: FLORIDA DELTA MECHANICAL
City: FORT PIERCE State:FL Address. 2716 BROADWAY CENTER BLVD
Zip Code: 34949 Fax: City: BRANDON State:FL
Phone No.508-979-0703 Zip Code.. 33510 Fax: 866-219-0729
E-Mail: Phone No. 866-21IM880
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.
Nov 0 2015 05:03PM HP Fax 9543847723 page 2
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DESIGNER/ENGINEER: _Not Applicable N TMORTGAGE 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 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 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 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 inspe ion. If.-You intend to obtain financing,consult with lender of attorney before
commencing work or r co our Notice of Commencement.
a. t.
_Signature of Owner/Lessee/Agent Signature f Contractor/License Holder
STATE OF FLORIDA - STATE OF FLO A
COUNTY OF ( LCO COUNTY OF Yb
The f9rzoing instrument was acknowledged be ore me The for oing instrument was acknowledged before me
this day of nil 20 �y this�day of t?l 20 1 S'by
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( ame of person acknowledging) (Name of person acknowledging)
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Signature f Notary Public-S to of arida} Signature f Notary Public-St a of rida)
Personally Known OR Produced Identification Personally Known >4, OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. No. (Seal)
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�' MY COMMISSION#FF120712
Revised 07/15l2014 '' gf °r' EXPIRES May 7, 2018 y'�p ',: EXPIRES May 7, 2018
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(407)948.0103 FIOria9Notary9larviftmem (407)388.01153 FICHIll laryServire.com
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