HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: May 31, 2017
Permit Number:
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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: 254 NE Salida Dr., Port St. Lucie
Legal Description: River Park Unit 9 -Part B
Property Tax ID #: 3419-565-0022-000-1 Lot No 21
Site Plan Name: Block No. 72
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 40 gallon electric water heater (like for like)
CONSTRUCTION INFORMATION:
: i : ::: M
A itiona wor to e e nrme un er t is permit — c ec a app y:
OHVAC Gas Tank []Gas Piping Shutters Windows Doors
11 Electric Plumbing Sprinklers E Generator 1_I Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 050.00
OWNER/LESSEE:
Name Holly MCNab
S Ft. of First Floor: _
Utilities: Sewer D Septic
Address: 2721 Dauphine St.
City: New Orleans Stater
Zip Code: 70117 Fax:
Phone No. Katy 530 591-7241 FI, Treas. RE
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Gary W_ Zanello
Building Height:
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:-�
Not
Name-
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: � Not Applicable
Name'
Address:
City:
MORTGAGE COMPANY:
Name: _
Address:
— Not Applicable
City: State:
Zip: Phone:
BONDING COMPANY. Not Applicable
Name_
Address:
Zip: Phone. [ Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone_
St. Lucie County makes no representation that is granting a permit will authorize the ppeermit 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 fallowing 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 roust 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 recordine your Notice of Commencement_
as Agent for Owner
STATE OF FLORIDA
COUNTY OF SLucia
-
The fo oing in was acknowledgedefore me
this jf day of 20 /._Lby
cYary w_ ZAaeHo
(Name of person acknowledging)
rLL LXZ��
(Signature of Notary Public- to of Florida)
Personally Known x OR f1�ylced Iderttifr tip
Type of identification Produ ••• 'WN u��I�� 3__ Ah COMMISSION OFF901099
Commission No. otos (Sea PIKES: August 25.2019
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Revised 07/1512014
STATE OF FLORIDA
COUNTY OFstiwaB
The forgoing instru was acknowledged before me
this day of a 20 17 by
Gwyyvu Za ello
ttvame or person acknowledging)
If
(Signature of Notary Public- S of Florida )
Personally Known x f duced Ide n .
Type of Identification Pr_ "'��` , ante a �Ig —
COMMISSION OFF901099
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Commission No. FF901ti9 - E ugusl. 25.2019
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