HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/26/2017 Permit Number: `' i
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Building Permit Application APR 2 6 2017
Planning and Development Services PERMITTING
Building and Code Regulation Divisibn St. Ludie County, FL
2300 Virginia Avenue,Fort Pierce F4 34982
Phone:(772)462-1553 Fax:(7 2)462-1578 Commercial x Residential
PERMIT APPLICATION FOR� Plumbing
-PROPOSED IMPROVEMENf LOCATION:
Address: 7202 S US Hwy I Port SL Ll ucle.
Legal Description:
Property Tax ID#: 3422-132-0001-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back- Right Side: Left Side:
DETAILED DESCRIPTION 0 WORK:
. I
Replace 40 gallon electric w I ter heater (like for like)
CONSTRUCTION INFORMATION.
AdditionalworKtobanartormec under this permit—check all that apply:
F1HVAC 13 Gas Tank n Gas Piping F]Shutters F]Windows/Doors
Electric 7V Plumbi 9 OSprinklers Generator F]Roof Roof pitch
Total Sq.Ft of Constructiom. - SQ.Ft.of First{
irst Floor.
Cost of Construction:$900-00 Utilities: Sewer FSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameGrimes Plaza 11 LLC Name: Gary W.Zanello
Address:3203 N Indian River Dr._I Company: Port St.Lucie Plumbing
City: Ft.Pierce State:FL Address: 6907 Heritage Dr.
Zip Code: 34946 Fax� City: Port St.Lucie State:Fl
Phone No.T72 878-7883 Carole Mautz Zip Code-34952 Fax:772 489-9126
E-Mail: Phone No. 772468 X524
Fill in fee simple Title Holder on I next page(if different E-Mail: portstlucieplumbingftmail.com
from the Owner listed above) State or County License: CFC053025
If value of construction is$2500 Orl more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State:_ City: State:
Zip: Phone:. I Zip:_Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
"Name: Name.
Address: I Address:
City: City.
Zip: Phone: i Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit
St Luc!e!:;oun%m=no rep"tation that is granting a permit will authorize the permit holder to build the subject structure
which is in con ct any applicable Home Owners Association rules,bylaws or and covenants that may.restrict or prohibit such
structure.Please consult witty you,Home Owners Association and review your deed for any restrictions which may apply.
in consideration of the granting of this requested permlt,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved dans,the Florida Building Codes and St Lucie County Amendments_
The following building permit appilcations 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:Ytm ' Ilure 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
''o
before the first inspection.I'Jyou intend to obtain financing,consult with lender or an attorney before
commencirm work or recordingvour Notice of Commencement.
Je
Sigiia - of contra r as Agent for 6;We--r i a cerise older
=E OF FLORIDA STATE OF FLORIDA
COUNTY OF sL ux:1- COUNTY OFsLLw,,
The for wledged before me The forgoing instru eat wap acknowledged before me
_goinginstru was a
instrument
20 izj>y 2a
this,i6 day of 1�0r'. th[SZ day 7PLd' /Z by
ewyw-zaneft
(Name of person acknowledging) (Name of person acknowledging)
a
(.Signature of Notary Pubffctate bf Florida) (Signature of Notary Pubig State of Florida
Personally Known X O ced iderw%ft Personally Known X 01�, Identifica*111 81glin
Type of Identification Prod—i Type of Identification Produc:-,M-
:3 . T S commiSsion IFFMAD =4C
?I'-= "M AUFAI 25,M9 Co N .
10. FF90109NO Commission No. FFEM=9
Commission I (SX;:0NN0TAftV-00M
'erne~tic
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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