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: