HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: March 1, 2017
Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade 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: 33 Lake Vista Trail 206
Legal Description: Vista St. Lucie Building 33 Unit 206
P ro pe rty Tax I D #: 3422-500-0451-000-9
Site Plan Name:
Project 'Name:
Setbacks Front Back: Right Side
DETAILED DESCRIPTION OF WORK:
Replace tC gallon electric water heater (like for like)
Left Side:
Lot No
Block No.
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit— checK alt apply:
E1HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Ll Electric 1J Plumbing Sprinklers ElGenerator I] Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 900.00
SFt. of First Floor:
Utilities:cn Sewer 0 Septic Building Height:
OWNER/LESSEE:
Name Susan Berger
Address: 33 Lake Vista Trail 206
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 772 878-6632
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONtRACTOR:
Name; Gary W. Zanello
Company: Port St. Lucie Plumbing
Address: 6947 Heritage Dr.
City: Port 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:
DESIGNER/ENGINEER:
Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
Name:.
Address:
Address:
City:
State: City: State:
Zip: Phone:
Zip: Phone:
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
comm ncing work or recording your Notice of Commencement.
. �r 4Cd
s
igna of er%L see Contractor as Agent for Owner Signa or/�se older
S TE OF FLORIDA STATE OF FLORIDA
COUNTY OF st Lucie COUNTY OF st Ise
The fgrping instrument as acknowledged before me
this S f' day of [ [TA) , 20 17 by
Gary W. Zanello b
(Name of person acknowledging)
(Signature of Notary Publi hate of Florida )
The forg ing instruv ent W s acknowledged before me
this _ ay of 20 by
Gary W_ 7Aneilo
(Name of person acknowledging)
(Signature of Notary Public- Sta of Florida }
t% IF
Personally Known x OR Produced Identification Personally Known x �� �•• produce Wn
Type of Identification Produced , �� r . Type of Identificaticg r ce'
EXMRE5;15 ow 25, 2019
Commission No. FF901099 _ yx Sea1fAmMrA1(* f 29.2099 Commission No. FF9' • �.' WWW.A"P*Xpy.00M
LIIIIJW.AAR0NN4TARY.00M
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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