HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED
TO BE ACCEPTED
Permit Number:
l -
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: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 10112 crosby place
Legal Description: the reserve lot 65
Property Tax ID ft: 3327-709-0020-000-5
Site Plan Name:
Project Name: james parrish
Setbacks Front Back:
Side:
Left Side:
Lot No. 65
Block No.
DETAILED DESCRIPTION OF WORK: I III
50 gal elec water heater replacement
CONSTRUCTION IN
II�_IIHVAC U Gas Tank
1®I Electric ❑✓_Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1249
ing LJ Shutters
em Generator
5r Ft of of First Floor:
Utilities:In Sewer 1:1Septic
❑ Windows/Doors
0 Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name lames parnsh
fl
e
Name: dimitre bobev
Address: 10112 crosby place
Company: 8orida delta mechanical
City: Port saint lucie State
Address: 2716 broadway center
Zip Code: 34986 Fax:
Phone No. 772-489-8379
E -Mail:
City: brandon State:8
Zip Code: 33510 Fax: 566-219-0729
Phone No. 866-219-0880
Fill in fee simple Title Holder on next page ( if diffeof
from the Owner listed above(
E -Mail: 8pennits@deltamechanical.com
State or County License: cfcl425917
n value or construction is pzbuu or more, a RECORDED Notice or Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LkW
INFORMATION:
DESIGNER/ENGINEER: _ Not Applica
Name:
fle
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State
Address:
City: State:
Zip: Phone:
Zip: Phone:
_
FEE SIMPLE TITLE HOLDER: _ Not Applica
Name:
fle
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Address:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced pi
St. Lucie County makes no representation that is grand
which is in conflict with any applicable Home Owners A
structure. Please consult with your Home Owners Assoc
In considerat n of the granting of this requested perm
1n accordance with the approved plans, the Florida Buil
The following ilding permit applications are exempt
accessory stru res, swimming pools, fences, walls, Sig
WARNING O WNER: Your failure to Records
improveme is o your prggerty. A Notice of C
before the rst spection. if you intend to obi
_Signature of Ownt/ Lessee/Agent\
STATE OF FLORID
COUNTY OF
The fawing instrum nt wys knowledgaqQ ppefore me
thi ay ofl_, 20 Lby
Personally Known 3
Type of Identification Fri
Commission No.
Revised 07/15/2014
OR Produced Identification
REVIEWS I FRONTZONING
COUNTER REVIEW
INITIALS
the issuance of a permit.
a permit will authorize thepermit holder to build the subject structure
)dation rules, bylaws or and covenants that may restrict or prohibit such
tion and review your deed for any restrictions which may apply.
I do hereby agree that I will, in all respects, perform the work
g Codes and St. Lucie Co my Amendments.
m undergoing a full conc rency review: room additions,
, screen rooms and acce s ry uses to another non-residential use
otice of Commence. may result in your paying twice for
nmencement must ecorded and posted on the jobsite
'n financing, consult i h lender cl attorney before
STATE OF FI
COUNTY OF
Personally Known — OR Produced Identification
Type of Identificatio Pro uced
Commi5Sion No. (Seal)
EXPIRESIMay 7, 2018
ASHLEY NICOLE ZIEGI
MY COMMISSION #R
EXPIRES May 7,
PLANS I REVIEW VEGETATION EV EWg REVIEW E MANGROVE