HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June 23, 2017 Permit Number:
1
s
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
Address: 905 'Elyse Cr Port St Lucie
Legal Description: Rivers Edge
Property Tax ID #: 3416-801-0002-000-9
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side
Replace 40 gallon electric water heater (like for like)
Left Side:
Lot No.�
Block No. A
CONSTRUCTION INFORMATION:
Additional work to n6as
orme un er t is permit —c ec a appy:
E] HVAC Tank OGas Piping _ Shutters Windows/Doors
11 Electric R1 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft- of First Floor:
Cost of Construction: $ 850-00 Utilities: Sewer 0 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
N a me Julio Amalbert
Name: Gary W.Zanello
Address: 905 Elyse Cr.
Company: Port St Lucie Plumbing
City: Port St. Lucie State:A
Zip Code: 34952 Fax:
Phone No. 973 454-1878
Address: 8907 Heritage Dr
City: Port St Lucie State: FI
Zip Code: 34952 Fax: 772 489-9126
Phone No. 772 468-6524
E -Mail-
Fill in free simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: portstlucieplumbing@gmail.com
State or County License: CFC058025
IT value of construction is }ZSuu or more, a XhILUKULL) Notice of commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
I
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone:
City State -
Zip: Phone:
FEE SIMPLE TITLE. HOLDER: � Not Applicable
BONDING COMPANY: —Not Applicable
Mame:
Name:
Address:
Add ress:
City:
City:
I Zip: Phone:
Zip: Phone--
hone:
I 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 permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Horne 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 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 uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Cornrnencenx mt may result in your paying twice for
improvements to your property_ A Notice of Commencement must be recorded and posted on the 3obsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordinp- your Notice of Commencement_
as Agent for Owner
SPATE OF FLORIDA
COUNTY OF st L-ia _
The fo oing inst ent was acknowledged before me
this day of QZW 20 Eby
41
Gary W. Zarb
(Name of person acknowledging)
Z 6`z L
(Signature of Notary Public State Florida)
Personally Known x OR Produced Identification
Type of Identification Produ
Commission No. Fm'099
Revised 07115/2014
($ MISSION OFFS01099
EIAES: August 25.2019
wm.AARUNNaiARY.CaM
STATE OF FLORIDA
COUNTY OF sria,cb
The forgoing instru nt was acknowledged before me
this oZ3' day of .20 LLby
Gary W. XaneW
(Name of person acknowledging)
(Signature of Notary Public- State o lorida )
Personally Known x OR Produced Identification
Type of Identification Produced-..�wi. ,,.
Commission No. i ria; r a (Seal)MAOISSiaN M901099
. ,. EYPRE5: Aaqust 25, 2019
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