HomeMy WebLinkAbout1704-0305 (2) ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:April 14,2017 Permit Number. t-7
"63
Building Permit Application
Planning and Development Servfcds
Building and Code Regulation DIvision
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(7,72)I 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVE"E T LOCATION:
Address: 12 Lake Vista Trail 203 Port St Lucie
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Legal Description:Msta St.Lucie Building 12 Unit 203
Property Tax ID 4- 3422-500-0164F000-7 Lot No.
Site Plan Name:
Block No.
Project Name:
Setbacks Front_ Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
Install hot and cold water fir es overhead to washer hook-up
CONSTRUCTION INIF Rk4ATION.-
Ad it!on a I wo rk to be be r-to r—m—e-d—u n d er this pe rm it-t che ck �a—a F —PPTY-.HVAC E]bas Tink 0
Gas Piping _ FlWindows/Docirs
Electric W, Plumbling OSprinklers []Generator F]Roof Roof pitch
Total Sq.Ft of Construction;' I Sq-Ft-of First Floor:
Cost of Construction:$ 800-00 Utilities:13Sew' erF]Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Maureen Golder'
-Name: Gary W.Zanello
Address:12 LakeMsta Trail 203 Company:Port St.Lucie Plumbing
City: Port St Lucie State:Fl Address: 6907 Heritage Dr.
Zip Code:34952 Fax: City: Part St Lumie State:FL
Phone No.'772 879-9604 Zip Code: 34952 Fax: 772 489-9126
E-Mail: Phone No.772468-6524
Fill in fee simple Title Holder an next page(if different E-Mail: po risUucieplumbing@grnaff.com
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from the Own&listed above)* State or County License- CFC058025
If value of construction is$2500 dr more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGI1 WENGiNEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: I Address:
City I state: City: State:
Zip: Phone- I Zip: Phone:
FEE SIMPLE TITLE HOLDER. Not Applicable BONDING COMPANY: Not Applicable
Name' Name:
Address: ( Address-
City: I city:
Zip: Phone: I Zip: Picone:
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I certify that no work or install ation has commenced prior to the issuance of a permit.
St Lude 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 Nome 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 exemptfrom 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:You;failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement trust 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 worts or recordtino vour Notice of Commencement.
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Sig5aqfo of eNLesseelcontractor as Agent for Owner rgn ✓'! Co! arJLicense Ifolder
SIWA/OF FLORIDA STATE OF FLORIDA
COUNTY OF st.umo COUNTY OF sc was
The fa oingtnstru entwas acknowledge db fore me me� g instrcrmentwas acknowledged before me
this day of i f ; 20 by this day ofl��P�`f`� ,20 17 by
Gary w zamllo y Gary w zandb
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-,Vatd of Florida) {Signature of Notary Public-State cylodda}
Personally Known X ,reduced ldp� Personally Known x OR Produced identification
Type of identification P .'. etlillEi�IQltll ""� Type of Identification Produ „ Daniels Aintin
COtNA15StDW /FF901
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FF9Dttl9R ? p���`AugatM2tn9 Commission No. FM1039 ar_ 'M�tt �Ft�Jo7o99
Commission No. WNY�)UtRONNOiARY tA1.I .' { Aupust25,2019
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Revised 0711512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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Port St. Lucie Plumbing, Inc.
6907 Heritage Dr.
Port St. Lucie, Fl 34952
772 468-6524
(Fax) 489-9126
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Date: April 20, 2017
To: St. Lucie County
Fax: 462-6443
Attn: Eileen
Re: Water heater permit
12 Lake Vista Trai I Unit 203
From: Dee
Thanks
Number of pages including cover sheet: 2
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•'' Payment Slip
Online address:http://www.stiucieco.org/planning/permitting.htm
Planning&Development Services Quick Links:
Building&Code Regulation Division Permit Status Lookup
2300 Virginia Avenue Online Building Inspection System
Fort Pierce,FL 34982 Daily Inspector Schedule
Phone:(772)462-1553 Fax:(772)462-1578
THIS IS NOT A RECEIPT Permit Date: 21 April, 2017
Permit Number: SLC- 1704-0305 PLUMBING -
COMMERCIAL
Contacts: Contractor Gary W Zanello/ Port St (772)468-6524
Lucie Plumbing Inc
Fax (772)489-9126
Property Owner Maureen Golder (772)879-9604
Fax
Property Owner Vernon T Golder
Fax
Job Address: 12 LAKE VISTA TRL 203
Fee Description: Amount Due:
NBIMS651 N-BP BIMS $5.00
NBPSur939 N-BP Surcharge- Permi8N - $2.25
Plumbing Commercial
NBPTru998 N-BP Trust Surcharge-
Permi809- Plumbing $2.25
Commercial
NPermi806 N-Permit Fee- Plumbing $150.00
Commercial
Total Unpaid Fees: $159.50
To check the status of your permit, day or night, use our on-line progam:
http://www.stiucieco.org/planning/permitting.htm Copy and paste this in your internet
browser and add it to your favorites.
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4/21/2017 2:42:31 PM