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
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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