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 A 34982
Phone: (772) 462-1553 Fax: (772) 462-1572 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
PROPOSE® WPROVEMENT LOCATION:
Address: 3351 TWIN LAKES TERRACE UNIT 105
Legal Description: LAKESHORE VILLAGE OF MEADOWWOOD
Property Tax IDN: 1327-704-0089-00-5
Site Plan Name:
Project Name: JERRY FREEMAN
Setbacks Front Back:
0 TARM/[fOWM OF WORK:
L-10 I eIEC �uCrl ev
Right Side:
Lot No.
Block No.
Left Side:
Y ' Ke_P�CICCI(2r )-i-
I CONSTRUCTION INFORMATION: III
L_IHVAC L_J Gas Tank
Electric 21 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1092
Jif mur–cr
Sas Piping
Sprinklers
Shutters Windows/Doors
Generator 0 Roof = Roof pitch
S Ft. of First Floor:
Utilities:n Sewer E Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JERRY FREEMAN
Name: DIMITRE BOBEV
Address: 3351 TWIN LAKES TERRACE UNIT 105
Company: FLORIDA DELTA MECHANICAL
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-215-0964
Address: 2716 BROADWAY CENTER
City: BRANDON State: FL
Zip Code: 33510 Fax: 866-219-0729
Phone No. 866-219-0890
E -Mail:
FIN in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: FLPERMITS(IDDELTAMECHANICAL.COM
State or County License: CFC1425917
I . — W' ..� ...��..�......... eqw m .tee e, • nca UnPPUxu naarce oT commencement a requires.
SUPPLEMENTAL CONSTRUCTION LIEN LA
MATION:
ZONING
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
REVIEW
City:
Zip: Phone:
State:_
City:
Zip: Phone:
State: _
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
COMPLETE
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
SC Lucie County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anScovenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
inconsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordant with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The followin builtling permit applications are exempt from undergoing a full con< renq review: room additions,
accessory sF aures, swimming pools, fences, walls, Signs, screen rooms and acce ory uses to another non-residential use
WARNING TO OWNER: yo failure to Record a Notice of Commencernt may result in your paying twice for
improvenn�� nts to your pro rty. A Notice of Commencement must a recorded an ted on the jobsite
before th# first inspection. If ou intend to obtain financing, consul ith lender or An attorney before
STATE OF
COUNTY
The fyring instrumt �wa�s acknowledge before me
this day of 2 by
STATE OF Fl.
COUNTY OF
Personally Known OR Produced Identification Personally Known'h. OR Produced Identification
Type of Identification rcduced Type of Identification Produced
Commission No. � Commission
ASHLEY
11 �r
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FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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DATE
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INITIALS