HomeMy WebLinkAboutBuilding Permit Application Mar 25 2016 06:25PM Florida Delta Mechanical 8662190729 page 2
ALL APPLICABLE INFO
nMUST
/BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / Permit Number: 0S
RECEIVE®
d
Building Permit Application MAR 25 2016
Planning and DevelopmentServices
BulldJng and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential K
PERM IT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
l ,
Address: 9650 SOUTH OCEAN DRIVE#501
Legal Description: 30 GALLON ELECTRIC WATER HEATER REPLACEMENT
Property Tax ID#: 4502-610.0041-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
V,k
30 GALLON ELECTRIC WATER HEATER REPLACEMENT
• M`W z �
fill
i
Additional work toe e orme under this perm —check a appy:
HVAC []Gas Tank [_]Gas Piping 1I Shutters L1Windows/Doors
Electric 0Plumbing ❑Sprinklers []Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1,289 Utilities:nSewer Septic Building Height:
VIMA42- NU!"
t1x Ea
.H.i � €sty QE: �. � n
NameNEYDE ROSSE Name: DIMITRE BOBEV
Address:9650 SOUTH OCEAN BLVD#5131 Company: FLORIDA DELTA MECHANICAL
City:JENSEN BEACH State:FL Address: 2716 BROADWAY CENTER BLVD
Zip Code: 34957 Fax: City: BRANDON State:FL
Phone No.772-285-2780 Zip Code: 33511 Fax:
E-Mail: Phone No. 866-219-0880
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: CFC331425917
If value of construction Is$2500 or more,a RECORDED Notice of Commencement is required.
Mar 25 2016 06:25PM Florida Delta Mechanical 8662190729 page 3
AMP
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:
1 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 firs,'nspection. If u intend to obtain financing,consult with lender or an attomey before
commencin k or re or '. your Notige of Commencement.
vu
5
_Signature of wner/Lessee/Agent Signature of Co ractor(License Holder
STATE OF FLORI[[�.A� STATE OF FLORIDA a 1
COUNTY OF Tti� COUNTY OF 4-4
The f inst m n wa knowledged efore me The r oing instr m nt wa cknowleciged efore me
this ay of 20 Joy thi ay of 20 JLby
(Name of person acknowledging) (Name of person acknowledging)
)J\ UMrAA Z-
Signature of N ary Public-State of orida) (Signature of Notilry Public-State of Irida }
Personally Known >S4;R Produced Identification Personally Known�OR Produced Identification
Type of Identification Produced
y t Type of Identification roduced
Commission No. �� 1 12 (Seal) Commission No.
YO`/NYp�� if"P SG�t ASHLEY NICOLE ZIEGENGEIST
,;
'S ocF4 Y EXPIFIES Ma
t, �; MYCOMMISSION#FF1?071?. " y 7', 2ola
Revised 07/15/2014 ���,��o FF (P1 E May 7, 201& i�ny�a��f53 FloridallotaNService.com
tan> age o1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS