HomeMy WebLinkAboutBuilding Permit Application Jan 20 2016 12:59PM Florida Delta Mechanical 8662190729 page 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED LOCI-
Date: '_ Permit Number: , LOC
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Building Permit Application JAN 2 0 2016
Planning and Development Services PERt'JIITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERM IT APPLICATION FOR: Plumbing -fie 0
Address: 1260 copenhaver road
Legal Description:
Property Tax iD#: confidential Lot No.
Site Plan Name: Block No.
Project Name: victoria mahar
Setbacks Front Back: Right Side: Left Side:
1420 +a.r t... } .2 t•..v«e r. C 1,# '� ' � f: .r s� :+,�„ !, fry .3.;•F r 4'
50 gal elec water heater replacement
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Adcutional work to performeduni er t is permit—c ec a appy:
HVAC GasTank ❑Gas Piping _Shutters aWindows/Doors
0 Electric F Plumbing ❑Sprinklers 1-11 Generator Roof
Total Sq.Ft of Construction: Scl.Ft. of First Floor:
Cost of Construction:$ 1293 Utilities: Sewer F I Septic Building Height:
Name victoria mahar Name: dimitre babev
Address:1260 copenhaver road Company: fiorida delta mechanical
City: fort pierce State:fl Address: 2716 broadway center blvd
Zip Code: 34945 Fax: City: Brandon State:fl
Phone No.772-464-7809 Zip Code: 33510 Fax: 856-219-0729
E-Mail: Phone No. $66-219-0880
Fill in fee simple Title Holder on next page(if different E-Mail: flpermits@deltamachanical.com
from the Owner listed above) State or County License: ofc1425917
If value of construction 1s$2500 or more,a RECORDED Notice of Commencement is required.
Jan 20 2016 12:59PM 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 ermit holder to build the subject structure
which is in conflict with any applicable home Owners Association rules,.bylaws or an covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed or 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 fir . inspection.If you intend to obtain financing, consultAlh lender or an,' ttorney before
commencing work or re ordin our Notice of Commencement. 1
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_Signature of Owner/Lessee/Ag nt Signature of ContractorjUcenseHDlder
STATE OF FLORI '�� -- STATE OF FLORIDA
COUNTY OF l � '' '•r I" COUNTY OF_
The for Ding instrum t was acknowledged before me The for Ding instrument was acknawle ed before me
this day of�____, 2D �P by this day of JC(n ,20 JU by
(Name of person acknowledging) (Name of person acknowledging)
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Signature Notary Public-St of Fl da} (Signature tNotary Public-State f Florlj6}
Personally Known '-A _OR Produced Identification Personally Known ~` OR Produced Identification
Type of Identification Produced Type of identification Produced
Commission No. �``" .',.. A$I NICOLE 7jEGENGE I mmission No.
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Revised 07/15/2014 't447}ses 4'>3 Floridallotary5ervice.com
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