HomeMy WebLinkAboutBuilding Permit Application Nov 18 2015 05:45PM Florida Delta Mechanical 8662190729 page 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/18/2015 Permit Number:
•
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: 5815 PALMETTO DR
Legal Description: INDIAN RIVER ESTATES UNIT 6 BLK 10
Property Tax I D#: 3402-607-0040-000-8 Lot No.
Site Plan Name: Block No. 10
Project Name_* ROSEMARY PALMERO
Setbacks Front Back: Right Side: Left Side:
50 GAL ELEC WATER HEATER REPLACEMENT
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Additional work to flasTank
orme un ert Ispermit—c ec a appy:
HVAC Das Piping _Shutters a Windows/Doors
11 Electric Z Plumbing Sprinklers El Generator Roof
Total Sq. Ft of Construction: S'c Ft. of First Floor:
Cost of Construction:$ 1416 Utilities: Sewer Septic Building Height:
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Name ROSEMARY PALMERO Name: DIMITRE BOBEV
Address:5815 PALMETTO DR Company: FLORIDA DELTA MECHANICAL
City: FORT PIERCE State:FIL Address: 2716 BROADWAY CENTER BLVD
Zip Code: 34982 Fax: City: BRANDON State:FL
Phone No.772-332-0022 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.
Nov 18 2015 05:45PM Florida Delta Mechanical 8662190729 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: _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 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 f inspection. If��u intend to obtain financing,consult t lender or an torney before
commenci Work or r cor i our Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID 4
COUNTY OF COUNTY OF I
The f oing instrume t was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 LYby this, day of_n -20 /�by
OMA-16 6welllL91rr 'k-& '6(lev
(Name of person acknowledging) (Na a of person acknowledging)
(Signatur f Notary Public- ate o lorida) Signature o otary Public-Sta of Flo a)
Personally Known_XOR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. �'CS (Seal) CommisslonNo.vkat-
"' ASHLEY NICOLE ZIEGENGEI
ASHLEY NICOLE ZIEGEN FIST
MY COMMISSION#FF120712 y:,
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