HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: February 16, 2017 Permit Number:
_C+OC.IINTY
F L O R I B A
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: 7700 Greenbrier Cr_
Legal Description: POD 19, PUD 11, Greenbrier, Lot 31
Property Tax ID #: 3322-700-0036-000-8
Site Plan Name:
Project Name: _
Setbacks Front
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 55 gallon electric water heater, 314" ball Valve and expansion tank.
Lot No. 31
Block No.
CONSTRUCTION INFORMATION:
Additional work to be nefformed under tis permit—check all apply;
E1EIVAC Gas Tank Gas Piping _ Shutters Windows/Doors
11 Electric Lr I Plumbing U Sprinklers L_l Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 1000.00
SFt. of First Floor: _
Utilities:cnSewer Septic
Building Height:
OW N ERAESSEE:
CONTRACTOR:
Name Eileen Wilson
Name: GaryW Zanello
Address: 7700 Greenbrier Cr.
City: Port St Lucie state: FL
Zip Code: 34986 Fax:
Phone No. 772 489-9734
Company: Port St Lucie Plumbing
Address: 6907 Heritage Dr
City: Port St Lucie State: FL
Zip Code: 34952 Fax: 772 489-9126
Phone No. 772 468-6524
E -Mail:
Fill in fee simple Title Holder on next ,page ( if different
from the Owner listed above)
E -Mail: portstlucieplumbing@gmaii.com
State or County License: CFC058025
If value of construction is $2540 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
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, l 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 your Notice of Commencement
IM1111 W/
igna of er/E essee/Contractor as Agent for Owner Signafd-rb df Cdrit�i of
S TE OF FLORIDA STATE OF FLORIDA
CO U NTY OF sr. Lucie COU NTY OF sz
The forgoing instrurpent was acknowledged before me
this day of _ FC'bMarq 20 Mby
Gary w. Zanello
(Name of person acknowledging)
L�M� 2LLIU
(Signature of Notary Public- ate of Florida)
Personally Known x OR Produced Identification
Type of Identification Produce4aM9921, Danielle Biolin
Commission No. FF901099 = ��eal =RES- Au iff9S
) EXP1RfS: AupuSt 25,
www.AAAONNOTARY
Revised 07/15/2014
The forgoing instrument was acknowledged before me
thisJ� dayof rebrUary 20 I7 by
Gary w. Zanello
(Name of person acknowledging I
/,-,I) . � '6
(Signature of Notary Public- State#f Florida )
Personally Known x OR �P,r ced Identification
Type of Identification Produ� '' ''�, Dani k Bi lin
COMMISSION Nff9fi W9
Commission No. FF901099 = �� (S@MI ES: AuVM 25, 2019
WWw.MAONNSTARy.coM
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