HomeMy WebLinkAboutBuilding Permit Application Mar 02 2016 03:33PM Florida Delta Mechanical 8662190729 page 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
1
Date:, 2Ila Permit Number�Vr
RECD. � 3
Building Permit Application
MAR Il 2 2016Planning and Development Services
Building and Cotte Regulation Division PEP,iA ITTI NG
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Plumbing VV I. crr kAe_ y_
`.,r Jy = .7
Address: 825 OSPREY CT
Legal Description: OCEAN RESORTS
Property Tax I D li: 1410-502-0353-ODO-2 Lot No.
Site Plan Name: Block No.
Project Name. ANDREW BONETTI
Setbacks Front Back: Right Side: Left Side:
40 GAL ELEC WATER HEATER REPLACEMENT
URIM
[-
M
Al 1
trona war to e orme under tis permit-check a appy:
HVAC 0 Gas Tank ❑Gas Piping 1Shutters Windows/Doors
ZElectric ElPlumbing Sprinklers []Generator Roof
Total Sq. Ft of Construction: Sal Ft.of First Floor:
Cost of Construction:$ 1054 Utilities Sewer Q Septic Building Height:
Name ELIZABETH BONETTI Name: DIMITRE BOBEV
Address:59 BAKER HILL RD Company: FLORIDA DELTA MECHANICAL
City: VESTAL State:NY Address: 2716 BROADWAY CENTER BLVD
Zip Code: 13850 Fax: City: BRANDON State:FL
Phone No 772-46&-8705 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$2504 or more,a RECORDED Notice of Commencement is required.
Mar 02 2016 03,33PM Florida Delta Mechanical 8662190729 page 2
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DESIGNER/ENGINEER: Not Appl(cable MORTGAGE COMPANY: Nat 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 Countv makes no representation that is granting a permit will authorise the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or an it
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 theinspection.If you intend to obtain financing,consult 'th lender or an ttorney before
commenci fi4 ork or cord' your Notice of Commencement.
Signature of Owner/Lesse
`'e
'/Agent Signature of ontracttor/License older
STATE OF FLCOUNTY U � vt STATE OF FLFRilllCS._
COUNTY O
The oing inst�ur�ent,was acknowledge. efore me The foing instr mens was acknowledged efore me
this day of t`�'lC �",� 2p 9b}r this day of
Zfl by
(Name of person acknowledging) (Marne of person acknowledging)
ftA1V opip iiry�j J-,6J A-h� I'V-1 -I ox%P 4)Q4 L n-0
Signature of tttary Public-State o lorida} Signature of Otary Public-State 411orlda)
Personally Known OR Produced Identification Personally Known_ LOR Produced Identification
Type of identification P-r�odpuuced Type of identification Produc
L�.� t ° HL MINYci:GEI�tG T
Commission No, mission No. I
ASHLEY NICOLE GEGEN IST Ft NMISSION#i F f 2fl
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EXPIRES May 7,20*
'ys ',+.' (407)398-0153 FloridallotaryService,com
Revised 07/15/2014 o, XP1REu May 7,2018
{407)398-0153 FloriciawtarySentice.com
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