HomeMy WebLinkAboutBuilding Permit Application Jan 20 2016 12:54PM Florida Delta Mechanical 8662190729 page 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: Cob
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce Fl:34952
Phone:(772)462-1553 Fax: (772)462-3578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
x, x i N
Address: 2500 atlantic beach blvd
Legal Description: fort pierce shores unit 3 blk 9 lot 5
Property Tax ID#: 1425-603-0016-000-4 Lot No.5
Site Plan Name: Block No. 9
Project Name: we kilduff
Setbacks Front Back: Right Side: Left Side:
,.V.grI,. �� 1" �' '`I 91 t �^+'t ,[,' }I, i' r C '.I y I 'v5,k
li': 4 iv r I I{ .
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40 gal elec water heater replacement
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itiona wor to e e orme un ert is permit—c e :k all appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric �1 PEumbing �5prinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft, of First(Fll000r:
Cost of Construction:$ 1085 Utilities:0Sewer l—.Septic Building Height:
V ilk "_�Aa i t i NNI
t S ' er
f=tel . a.;,ii9 9}l' rJ. �1 la�i.:ei SYt M11�'4.,11. re.
Name waiter Mcluff Name: dimitre bobev
Address:2500 atlantic beach blvd Company: florida delta mechanical
City: fort pierce State: Address: 2716 broadway center blvd
Zip Code: 34949 Fax: City: brandon State:fl
Phone No.772-979-5758 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.
Jan 20 2016 12:54PM 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 TITLEHOLDER: _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 au applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Horne Owners Association and review your deed forany 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 inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing/w rk or record inour Notice of Commencement. '
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_Signature o Owner/Les a/Age t Signature 61 Contractor nseiAolfff r
STATE OF FLORI STATE OF FLOn�Shjjj COUNTY OF -'1 COUNTY OF I
The f r oing Instru ent was acknowledged�pefore me The forgoing instrum nt was acknowledged before me
this M.day of 20 L19-by this day of_ 20 L by
offy-4a. -N)�X'u R ml+ft r�66m'/
(Name of person acknowledging) (Name of person acknowledging)
-7 A I 9A I-nil I I
(Signature o Notary Public-Staffi of Flo a) (Signatur of Notary Public- ate o Florida)
Personally Known '*-), OR Produced Identification Personally Known �_OR Produced Identification
Type of Identification Produced `` Type of identificatioonnProduced
Commission No. L l� (Seal) Commission No, la ( (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS