HomeMy WebLinkAboutBuilding Permit ApplicationB
ALL APPLICABLE INFO MUST BE COMPLETED F 7R APPLICATION TO BE ACCEPTED
Date: April 05, 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 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 31 Lake Vista Trail 102 Port St. Lucie
Legal Description: Vista St. Lucie Building 31, Unit 102
Property Tax ID #: 3422-500-0422-000-4
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 30 gallon electric water heater (like for like)
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit —check allapply:
®HVAC Gas Tank E]Gas Piping tn Shutters Q Windows/Doors
11 Electric I r I Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 850-00
OWNER/LESSEE:
Name Everett Budd
Address: 41 S Bay Ave
SFt. of First Floor:
utilities:cn Sewer []Septic
City: Amityville State: NY
Zip Code: 11701 Fax:
Phone No. 772 578-9940
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: Port St Lucie State: PI
Zip Code: 34952 Fax: 772 489-9126
Phone No. 772 468-6524
E -Mail: portstiucieplumbing@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: Stater
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 thepermit 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
commgncing work or recording your Notice of Commencement.
A10', 1114"", AK /� � . s
S
ignaof er/L ssee Contractor as Agent for Owner Signat� r Cori orLicerise older
SF FLORIDA STATE OF FLORIDA
COUNTY OF SL Luc�e COUNTY OF sc
The forgoing instrument was acknowledged before me
this 5 Aday of At r 4� , 20 l 7 by
Gary W. Zanello 1
(Name of person acknowledging)
(Signature of Notary Public /✓State of Florida j
Personally Known x t IdentiAN&W diglin
Type of Identification Prodi ii `= COMMISSION OFF901099
Emma: Aiilusx eo, LV i7
Commission No. FF901099 �'';� +*�� (S AARONNoTARY.Com
Revised 07/15/2014
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
The forgoing instrument was acknowledged before me
this 5 f"day of Ar'i-' i 20 17 by
t
Gary W_ Zanello
(Name of person acknowledging)
(Signature of Notary Public- State o�lorida )
Personally Known x OR Progged Identification
Type of Identification Produced ... // �, DvWliI Bialin
is COMMISSION #FMI099
Frso�os9
Commission No. " Sea11VIRES: AupuO 25.2019
www AARoNNoTARY.com
fit k%
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW