HomeMy WebLinkAbout32-101ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: February 21, 2017
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
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 32 Lake Vista Trail 101
Legal Description: Vista St. Lucie Bldg 23 Unit 101
Property Tax ID #: 3422-500-0433-000-8
Commercial Residential x
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
Replace 30 gallon electric water heater (like for like)
Left Side:
Lot No._
Block No.
CONSTRUCTION INFORMATION:
Additional wor toe nprtormed under tis permit —Check all appy:
LIHVAC 0 Gas Tank nGas Piping _ Shutters Windows/Doors
Electric Lr J Plumbing OSprinklers I Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 850.00
OWNERAESSEE:
Name Paul Watson
SFt. of First Floor: _
Utilities:nSewer Septic
Address: 32 Lake Vista Trail 101
City: Port St Lucie State: FL
Zip Code: 34952 Fax:
Prone No. 231 730-3556
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Building Height:
Name: Gary W. Zanello
Company: Port St Lucie Plumbing
Address: 6907 Heritage Dr
City: Fort St Lucie State: FL
Zip Code:. 34952 Fax: 772 489-9126
Phone No. 772 468-6524
E -Mail: portstlucieplumbing@gmail.com
State or County License: CFC058025
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
COUNTY`'
F
L a R 1 n n
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
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 32 Lake Vista Trail 101
Legal Description: Vista St. Lucie Bldg 23 Unit 101
Property Tax ID #: 3422-500-0433-000-8
Commercial Residential x
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
Replace 30 gallon electric water heater (like for like)
Left Side:
Lot No._
Block No.
CONSTRUCTION INFORMATION:
Additional wor toe nprtormed under tis permit —Check all appy:
LIHVAC 0 Gas Tank nGas Piping _ Shutters Windows/Doors
Electric Lr J Plumbing OSprinklers I Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 850.00
OWNERAESSEE:
Name Paul Watson
SFt. of First Floor: _
Utilities:nSewer Septic
Address: 32 Lake Vista Trail 101
City: Port St Lucie State: FL
Zip Code: 34952 Fax:
Prone No. 231 730-3556
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Building Height:
Name: Gary W. Zanello
Company: Port St Lucie Plumbing
Address: 6907 Heritage Dr
City: Fort St Lucie State: FL
Zip Code:. 34952 Fax: 772 489-9126
Phone No. 772 468-6524
E -Mail: portstlucieplumbing@gmail.com
State or County License: CFC058025
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: _
Address:
City:
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
State:
s Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
wh ch is inc onflicttty awith anrepresentation loothat
he owners Asssocipermit
t On ru es authorize
ylaws or and permit
nants that mayd esti ctborprohibit 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 your Notice of Commencement.
3ignar OT 7er/ Lessee/ Contractor as Agent for Owner Signa r Con or/License older
S TE OF FLORIDA STATE OF FLORIDA
COUNTY OF st Luu,e COUNTY OF sL
The forgoing instrume was acknowledged before me The forgoing instrume t was acknowledged before me
this-! day of �w 20 LZby this ::2/ day of s CG 20 / 7 by
Gary W. Zanello Gary W. Zanello
(Name of person acknowledging) (Name of person acknowledging)
llrlA'
(Signature of Notary Public- ate of Florida } (Signature of Notary LPublic-St a of Florida )
Personally Known x OR Pr lntificatio�ielle �Klllil Personally Known x OR ed Identifi do
Type of Identification Produced •'' COMMISSION OFlgp O*pe of Identification Produ `�':
EXPIRES. Au"I 25, f COMMiSSiON iffli1U99
Commission No. rFsoioas '�......I sital) WWWMRINNOTARY commission No. FF901099 �* {S�RES AuauN25,2419
��+vv` OARONNOrARY.COu
Revised 07/15/2014
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