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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: f ay 201 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34981 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial 1 PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 5911 YUCCA DR Legal Description: CONFIDENTIAL Property Tax ID #: CONFIDENTIAL Site Plan Name: Project Name: WALTER HAMEL Setbacks Front Back: Right Side: DETAILED DESCRIPTION OF WORK: 40 GAL ELEC WATER HEATER REPLACEMENT Left Side: Residential X Lot No. Block No. CONSTRUCTION INFORMATION: AOadlonal WOrl(tobe ertormed HVAC under Gas Tank this permit— check all ❑Gas Piping lDlaLl apply: L_J Shutters 1I❑�1I l_I Electric ❑✓_Plumbing Sprinklers Generator 1(��Windows/Doors L_I Roof Total Sq. Ft of Construction: Cost of Construction: $ 1231 SatI —F�t.I of First Floor: Utilities:Sewer DSeptic Building Height: OWNER/LESSEE: Name WALOTER HAMEL Address: 5911 YUCCA OR City: FORT PIERCE State: FL Zip Code: 34982 Fax: Phone No. 561-262-2007 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) (CONTRACTOR: Name: DIMITRE BOBEV Company: FLORIDA DELTA MECHANICAL Address: 2716 BROADWAY CENTER City: BRANDON State: FL Zip Code: 33510 Fax: 866-219-0729 Phone No. 866-219-0880 E -Mall: FLPERMITS@DELTAMECHANICAL.COM State or County License: CFC1426917 If value of construction is $2500 or more, a RECORDED Notice of ..ommencement is required. I C SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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 m conflict with any applicable Home Owners Association rules, bylaws or antl 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 ith the approved plans, the Florida Building Codes and St. Lune Coun Amendments. The following ilding permit applications are exempt from undergoing a full concur ncy review: room additions, accessory str ures, swimming pools, fences, walls, signs, screen rooms and access uses to another non-residential use WARNING OWNER: Your allure to Record a Notice of Commenceme t ay result i your paying twice for i 1 rovem n to your prop . A Notice of Commencement must b r corded an osted on the jobsite before the it inspection. I u intend to obtain financing, consult t lender or attorney before commend Prk or record 'our Notice of Commencement. S _ Signature of O er essee//ent1 Signature of Contra or loan 11 Holder STATE OF FLORI ,,zt STATE OF FLORI COUNTY OF I IIS k/7 COUNTYOF The f mg mstru nt was acknowlede The forfsoing mstrurgent was acknowle before me this day of i 2this 3 day of �Z j/7.Q_ 20 by i 7lfl� wledge ��1 (Naoperson acknoowging�) (signature of dry Pu6ll c-3ta�e of orida Ignat4e.fary►u lic-State Personally Known �� OR Produced Identification Personally Known OR Produced Identification _ Type of Identification Produced Type of Identification Produced Commission No. aV 1 D (Seal) r^ sion No.i r•'i r I O (Seal) ngHLEy NICOLE ZIEG NGEIST ,tda=,e;.. nein ev Nirnt c7 ^„t. I •f MV COMMISSION RRec� Revised 07/15/2014 -e- ==Mv coMMlsslc �I sn "".&” M18, EXPIRES May 7. 2016 ,e.; 111 sery .r` nd' EXPIRES 901� a� otary II REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLEM REVIEW REVIEW ANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ST LUCIE COUNTY BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982 CODE ENFORCEMENT 772-462-1571 and CONTRACTOR LICENSING 772-462-1672 FAX 772-462-1148 AUTHORIZATION FORM FOR CREDIT CARD PAYMENT TO: St Lucie County RE: / C License # l T -I 1-7 Credit Card Users: 1.5% Surcharge added per transaction. Payments must be received in this department by 4:00 PM for transaction to be processed that day, if not it will be processed the following business day. VISA MASTERCARD / Credit Card Number' -i: � � J V I� I u I �Y I Expiration Date 12 1 1 Zip Code fr S20 10 3 digit security code I U LL Amount $ + 1.5% surcharge 1 w4 Business Name: Florid`/eta Mec cal Authorized Signature: \\Jtl[/1(t Print Name: Dimitre Bobev Phone: (_12.L) ) 219 - 0680 Fax: ( 86J6 219 -157T9— Comments: