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:
Plumbing
Name Dibs US, Inc.
Name: George Beys
Company: Anytime Companies, Inc.
Address: 5520 Broadway
Address: 2915 E Baseline Rd Ste.109
City: Gilbert State:AZ
Zip Code: 85234 Fax:
Address: 7703 Pensacola Rd, Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK - UNIT 6 - BLK 63 LOT 15
Property Tax ID #: 1301-606-0123-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Like for like 40 gallon electric water heater installation.
❑HVAC ❑ Gas Tank
11 Electric ❑✓ Plumbing
Total Sq. Ft of Construc
Cost of Construction: $
Sprinklers
Generator
Lot No. 15
Block No. 63
Windows/Doors
Roof Roof pitch
tion: Sq.
of First Floor:
1282.50 Utilities: 11 Sewer 11 Septic Building Height:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONTRACTOR 3
Name Dibs US, Inc.
Name: George Beys
Company: Anytime Companies, Inc.
Address: 5520 Broadway
Address: 2915 E Baseline Rd Ste.109
City: Gilbert State:AZ
Zip Code: 85234 Fax:
City: West Palm Beach State: FL
Phone No.
Zip Code: 33407 Fax: 561-282-3423
Phone No. 561-969-3996
E -Mail:
E -Mail: info@anytimecompanies.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: CFC 1427276
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
PLANS
Name:
Address:
MANGROVE
Address:
City:
State:
City: State:
Zip: Phone:
REVIEW
Zip: Phone:
REVIEW
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 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 concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
s
Signature of Owner ntractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF qAlfh' e cca. COUNTY OF \' \rn
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this tk_ day of17C r r 20 Eby this Q y of (_,*C C k =f , 20 l l4^, by
(Name of perso acknowledging )
(Signature of Nota\ry Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
CAttrtc-C6 L�
(Name of person 4cknowl edg4 )
a ' ` r
(Signature oo ry Pubblliicc-,8t e of Florida )
Personally Kno 1,"" OR Produced Identification
Type of Identification Produced
(Seal) I ASHLEIGH SCHAAD
Commission No. Seal Commission No, Seal
Notary Public - State of Flo
. y
orFOfF`°�,, My Comm. Expires May 6, 2
Revised 07/15/2014 1 Bonded through National Notary I
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS