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Belfry Place
ALL APPLICABLE INFO MUST BE COMPLETED FOR ,APPLICATION TO BE ACCEPTED Date: May 22, 2017 Permit Number: Building Permit Application Plonning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 8429 Belfry Place Port St. Lucie Legal Description: POD 28 at the Reserve Commercial Residential x Property Tax ID #: 3327-701-0061-000-0 Site Plan Name: Project Name: Setbacks Front Back: Right Side: DETAILED DESCRIPTION OF WORK: Replace 50 gallon electric water heater (like for like) Left Side: Lot No. 58 Block No. CONSTRUCTION INFORMATION: itiona wor to e e orme un er t is permit — c ee a appy: HVAC Gas Tank 0Gas Piping OGenerator Shutters Wind ows/Doors Electric Plumbing Sprinklers 0 Roof C� Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 900-00 OWNER/LESSEE: Name Glen Seidner Address: 37 Frazer Dr. S Ft. of First Floor: _ Utilities: Sewer -Septic City: Greenlawn State:NY Zip Code: 11740 Fax: Phone No. 772 828-9455 House Check E -Mail: Fill in fee simple Title Halder 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: FL Zip Code: 34952 Fax: 772 489-9126 Phone No. 772 468-6524 E -Mail: portstlucieplurn bin gggmail.corn State or County License: CFC058025 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Gou F rV T Y L U R 1 o A.. - Building Permit Application Plonning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 8429 Belfry Place Port St. Lucie Legal Description: POD 28 at the Reserve Commercial Residential x Property Tax ID #: 3327-701-0061-000-0 Site Plan Name: Project Name: Setbacks Front Back: Right Side: DETAILED DESCRIPTION OF WORK: Replace 50 gallon electric water heater (like for like) Left Side: Lot No. 58 Block No. CONSTRUCTION INFORMATION: itiona wor to e e orme un er t is permit — c ee a appy: HVAC Gas Tank 0Gas Piping OGenerator Shutters Wind ows/Doors Electric Plumbing Sprinklers 0 Roof C� Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 900-00 OWNER/LESSEE: Name Glen Seidner Address: 37 Frazer Dr. S Ft. of First Floor: _ Utilities: Sewer -Septic City: Greenlawn State:NY Zip Code: 11740 Fax: Phone No. 772 828-9455 House Check E -Mail: Fill in fee simple Title Halder 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: FL Zip Code: 34952 Fax: 772 489-9126 Phone No. 772 468-6524 E -Mail: portstlucieplurn bin gggmail.corn State or County License: CFC058025 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Cr Illi., - - Lr=JvIrly IAL CONSTRUCTION LIEN LAW INFORMATION, DESIGNI=R/1-1ur_ Iwresn. Name: ti Address: City: Zip. Phone: State: FEE SIMPLE TITLE HOLDER_ _ Not Applicable Name: Address: City: MORTGAGE COMPANY_ Name: Not Applicable Address.; City: Zip: ��Phone_ State: BONDING COI111pgNy; Name: `Not Applicable Address: P=Phone: Zip:---� Prone: l 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 pi nrmitwill authorize the permit holder to build the sola"ect which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants; that may structure. Please consult with your Horne Owners J structure Association and review your deed for any restrictions Which mayapply. Prohibit such In consideration of the granting of this requested permit, I do hereby a work in accordance with thea n tie that I will, in all respects, perform, the work approved plans, the 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 WARNING TO OWNER: Tour failure to Record a Notice of Cornmencernuses to another non-residential use improvements to your property. A Notice of Commencement must be recorded and result in Postred on tw afor bsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recorcliMyour Notice of Commenr_Qmanf as Agent for owner STATE OF FLORIDA COUNTY OF st. Lmia The fo ing i twas acknowledged before me this©2dayZo I �r Guy w. zanew _ _ (Name of person acknowledging) i = & 7�� (Signature of Notary Publ' - tate of Florida) Personally Known x t1t}Iluced Idem ' Ilr< Type of identification Pr EXPIRES: August 2Q1� Commission No_ FFS3O7Q99"'. '. j4A*R0NNOTARY.COM Revised 07115/2014 STATE bF FLORIDA COUNTY OF sL t„as The forgoing instm nt was acknowledged before me thiis� day of 2o/7 by Gary W. zanelb (Name of person admowledging ) 4(S'9natU�re_0:jZfLNo)&t3rY Public- to of Florida ) Personally Known duced Identification Type of Identification Pr.� �., Danielle Biglln COMMISSION #FF901099 Commission No_ ala = EX ugust 25, 2018 ONOTARY.COM REVIEWS FRONT I ZONING SUPERVISOR PLANS COUNTER I REVIEW I REVIEW REVIEW DATE INITIALS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW I REVIEW