Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: April 3, 2017 Permit Dumber: 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: 31 Lake Vista Trail 202 Port St. Lucie Legal Description: Vista St. Lucie Building 31, unit 202 Property Tax ID ##: 3422-500-0429-000-3 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace 30 gallon electric water heater like for like) CONSTRUCTION INFORMATION: Additional work to be nertormed under this permit — rmit— check all a j pp1 Y: QHVAC _ Gas Tank Bas Piping ! _! Shutters Windows/Doors LSI ElectricI r J Plumbing OSorinklers Q Generator Roof j Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction: $ 900.00 Utilities:Sewer OSeptic Building Height- OWNER/LESSEE: Name Jahn Connolly Address: 3168 Wissman Av City: Bronx State: NY Zip Code: 10465 Fax: Phone No. 917 532-6923 E -Mail: Fill in fee simple Title Holder on next page ( if dllifferent from the Owner listed above) I CONTRACTOR: Roof pitch Name: Gary W. Zanello 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@gmail.com State or County License: CFC058025 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. CCfl1NIFY F L O R 1 i1 R Permit Dumber: 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: 31 Lake Vista Trail 202 Port St. Lucie Legal Description: Vista St. Lucie Building 31, unit 202 Property Tax ID ##: 3422-500-0429-000-3 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace 30 gallon electric water heater like for like) CONSTRUCTION INFORMATION: Additional work to be nertormed under this permit — rmit— check all a j pp1 Y: QHVAC _ Gas Tank Bas Piping ! _! Shutters Windows/Doors LSI ElectricI r J Plumbing OSorinklers Q Generator Roof j Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction: $ 900.00 Utilities:Sewer OSeptic Building Height- OWNER/LESSEE: Name Jahn Connolly Address: 3168 Wissman Av City: Bronx State: NY Zip Code: 10465 Fax: Phone No. 917 532-6923 E -Mail: Fill in fee simple Title Holder on next page ( if dllifferent from the Owner listed above) I CONTRACTOR: Roof pitch Name: Gary W. Zanello 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@gmail.com State or County License: CFC058025 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I SUPPLEMENTAL CONSTRUCTION LI N LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: I Address: City: State: City: State: Zip: Phone: I Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: I Name: Address: Address: City: I City: Zip: Phone: I Zip: Phone. I certify that no work or installation has commence 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 l which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such Istructure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. I In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work l 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,i 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. - igna of er/Lessee/Contractor as Agent for Owner SiglarConorUcense Molder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF st. Lucie COUNTY OF - t -t. The Torgqing instrument was acknowledged before me The forg 'ng instrument was acknowledged before me this r`! day of t '' , 20 w %by this , rc ay of U►(J�I 20 17 by Gary W. Zanelio (Name of person acknowledging) AmAv 404r (Signature of Notary Pubii'�Atate of Florida) '\\'0'�fll'l Danielle Bfglin t Personally Known x , d IdNVWARn_ Type of Identification Pro"e '�= cxriit s Auauet 25.2019 www.AARONNOTARY.COM Commission No. FF901099"'���«.`� (Seal) Revised 07/15/2014 Gary W Zanello (Name of person acknowledging) (Signature of Notary Public; Personally Known x Type of Identification P Commission No. Fr901099 REVIEWS FRONT ZONING SIIP�ERVISOR PIANS VEGETATION COUNTER REVIEW REVIEW REVIEW REVIEW DATE COMPLETE - INITIALS tate , Florida ) d„`� .<, Danielle Biglin Vf�uced �Ip gpti��Ogg_ EXPIRES: Autiust 25, 2019 y am` www AARONNOTARY.COM roll: 11% (Seal) SEA TURTLE MANGROVE REVIEW REVIEW