HomeMy WebLinkAboutBuilding Permit ApplictionALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June 22, 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
PERMIT APPLICATION FOR: plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 9650 Landings Dr. Port St. Lucie
Legal Description: Fairway Landings Parcel 10, Lot 14
Property Tax ID #: 3322-500-0036-0004
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side
DETAILED DESCRIPTION OF WORK:
Replace 50 gallon electric water heater (like for like)
CONSTRUCTION INFORMATION:
]tuna wor to e e Dime un er this permit c ec a
HVAC Gas Tank E]Gas Piping
11Electric L JJ Plumbing Sprinklers
Residential x
Left Side:
Lot No. 14
Block No.
thatapply:
ID Shutters Windows/Doors
OGenerator Roof L� Roof pitch
Total Sq. Ft of Construction: SCI ft. of f=irst Floor:
Cost of Construction: $ 900.00 Utilities: — Sewer Septic Building Height:
OWNER/LESSEE:
NameArthur Devries
Address: 9650 Landings Dr
City: Port St Lucie State:FL
Zip Code: 34986 Fax:
Phone No. 772 461-0382
E -Mail:
Fill in fee simple Title Holder on next Page ( if different
from the Owner listed above)
CONTRACTOR:
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: portstlucieplumbing@gmaii.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:
DESIGNERIENGINEER:
Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
State: City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
, Not Applicable BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
may:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County snakes 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 Assoaation rules, bylaws or and4 that may restrict or prohibit such
structure. Please consult vAth 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 aocessory 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
comm racing work or recording your Notice of Commencement.
�i A%� f
i 1011A �f
Signa , � of Ojnr�(er/Lessee/ ontractar as Agent for Owner Signa r ,df Conor License older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sL L- COUNTY OF sL L—
The fo oing insttru ent was acknowledged before me
thisv day of �, LG" . , 20 Eby
Gary w zenew
(Name of person acknowledging )
(Signature of Notary Pub is of Florida)
The fTf oing instr t was acknowledged before me
this,- day of 20 f 7 by
v
Gmy w. zanetl�
(Name of person acknowledging)
{Signature of Notary Public- Stat of Florida)
Personally Known X OR Pced Identification Personally Known x O\ Rpiuced Identification
Type Type of Identification Prodp�*�'• Danielle Hi lin
T e of Identfication Prod ! •••u�v� �+ ftieile yP _ x� ��
COMMISSION IFF901M
COMMISSION OFFlelM _ ar=
Commission No. °7°95 {Seagx?IBES: August 25, 2019 Commission No_ Ff%lm ?fl �= (MM: August 25, 20N
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE —
COMPLETE
INMALS