HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 8 LAKE VISTA TRAIL 4107
Legal Description: VISTA ST LUCIE BLDG 8 UNIT 107 (OR 2160-1005)
Property Tax ID #: 3422-500-0105-000-6 Lot No.
Site Plan Name: Block No.
Project Name: IRENE GRANT
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
38 GALLON ELECTRIC WATER HEATER REPLACEMENT
CONSTRUCTION INFORMATION:
itiona war to e e Orme un ert is permit—c ec a appy:
II��II
Gas Tank []Gas Piping Windows/Doors
IIL�_IIHVAC _Shutters
Lel Electric Plumbing Sprinklers Generator Roof
i
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 1056 Utilities: Sewer E]5eptic Building Height:
0 W N ERAESSEE:
CONTRACTOR:
Name IRENE M COLEMAN
Name: DIMITREBOBEV
Address: LAKE VISTA TRAIL #107
Company: FLORIDA DELTA MECHANICAL
City: PORT SAINT LUCIE State:FL
Address: 2716BROADWAY CENTER BLVD
Zip Code: 34952 Fax:
City: BRANDON State: FL
Phone No. 720-809-3479
Zip Code: 33511 Fax866-219-0729
E -Mail:
Phone No. 866-219-0880
Fill in fee simple Title Holder on next page ( if different
E -Mail: FLPERMITSQDELTAMECHANICAL.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
veervn=ny ci..I i.cc6: _Plot Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State: _
Zip: Phone: Zip: Phone:
FEE SIMI
Name:
Address:
City:
Zip:
TITLE HOLDER: _ Not
BONDING
Name:
Address:
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
St. Lucie County makes no representation that is granting apermit 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 con y review: roam additions,
accessory structures, swimming pools, fences, walls, signs, stteen rooms and ce ry ers to another non-residential use
WARNING
Y O 7 ER: Your fa' ecord a Notice of Comm er ay result in your paying twice for
improvements to our pr rty. A Notice of Commencement t be corded and p9�ted on the jobsite
before t efirst pet ' . If you intend to obtain financing, suit w' h lender ocafi attorney before
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 13 day of SULy this'day of Imr i 20 11.0 by
Personally K
Type of Iden
Commission
Revised 07/15/2014
OR Produced Identification PIrsonally Known OR Produced Identification
T pe of Identificati Pro L,—d
y1` hWISSION4F ommission No. FF972348 Myd IiIWSION4FFW'2045
EXPIRES March11, 202011 __. EXPIRES March 11, 2020
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