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HomeMy WebLinkAboutpermit applicationALL 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 34382 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 4909 'Myrtle Dr Ft. Pierce Commercial Residential X Legal Description: Indian River Estates Unit 07 Block 42 Lot 25 Property Tax ID #. 3402-608-0141-000-9 Site Plan Name: Project Name: Setbacks Front Back: Right Side DETAILED DESCRIPTION OF WORK: Replace 40 gallon electric water heater (like for like) CONSTRUCTION INFORMATION: njiona workto e e Ounrme er OFIVAC Gas Tank 11 Electric 10 Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 600.00 OWNER/LESSEE: Name Angela Johnson Left Side: tnis permit— chec aff-ap-ply': ❑Gas Piping _hutters Sprinklers ❑ Generator Sq. L. of First Floor: _ Utilities: Sewer ❑ Septic Address: 4909 Myrtle Dr_ City: Ft. Pierce State: FL Zip Code: 34982 Fax: Phone No. 772 807-0205 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Gary W. Zanello Lot No. 25 Block No. 42 Windows/Doors Roof Roof pitch Building Height: 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: POrtstlucieplumbing@gmaii.com State or County License: CFC058025 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Ctv.� IVTYF di 17 A Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34382 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 4909 'Myrtle Dr Ft. Pierce Commercial Residential X Legal Description: Indian River Estates Unit 07 Block 42 Lot 25 Property Tax ID #. 3402-608-0141-000-9 Site Plan Name: Project Name: Setbacks Front Back: Right Side DETAILED DESCRIPTION OF WORK: Replace 40 gallon electric water heater (like for like) CONSTRUCTION INFORMATION: njiona workto e e Ounrme er OFIVAC Gas Tank 11 Electric 10 Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 600.00 OWNER/LESSEE: Name Angela Johnson Left Side: tnis permit— chec aff-ap-ply': ❑Gas Piping _hutters Sprinklers ❑ Generator Sq. L. of First Floor: _ Utilities: Sewer ❑ Septic Address: 4909 Myrtle Dr_ City: Ft. Pierce State: FL Zip Code: 34982 Fax: Phone No. 772 807-0205 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Gary W. Zanello Lot No. 25 Block No. 42 Windows/Doors Roof Roof pitch Building Height: 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: POrtstlucieplumbing@gmaii.com State or County License: CFC058025 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION: DESIGNERf ENGINEER: MORTGAGE COMPANY: Name: Z:NotApplicable Name: Not Applicable Address: Address: City: State: Zip: Phone.Zip: City: $tate: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Address: Name: Address: City: Zip: Phone: City: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. which is in c nflict with any s no applicable HomeaOiwnersting Association rulesabyllawsor and covenants that build the esti subject 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 pians, 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 comm ncin work or recording our Notice of Commencement. as Agent ST*TE OF FLORIDA COUNTY OF sL Lupe The for instru a was acknowledged. before me thisl , day of CivlC 20 .(Zby Gary W. Zenello a (Name of person acknowledging) STATE OF FLORIDA COUNTY OF s,- L -w The forgaipg mstrumejwasacknowledged before me this ---- of �L- 20 ' L by A Gary W. Zanello (dame of person acknowledging) Anrles (Si nature of Notary Public- ate of Florida } (Signature of Notary Public- S e of F orida } Personally Known X OR Pr, „ + ntificatio�ielle %fin PersonallyKnown X Type OR , �,�ed Identifratoq;� yp of Identification Produced - _ COMMISSION IFPBO o*pe of identification Produ •s�'�% #1a ''i�� 00��11''++ EXPIRES Au1W 25. 1 #1# � Commission No. rFso1099 '��PIj1111�+�COMMiSSIOk OM10l 9 nn"„al}WVMAMONOTARr,000mmission No. rr�11M ZyES J4oust25.201t�RMi14NNOTARr.401 Revised 07/15/2014 REVIEWS IFRONT ZONING COUNTER REVIEW DATE COMPLETE INITIALS S REVIEWQR REVIEW I V REV EW©N S REVIEW I MREV EWVE