HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: July 24, 2017 Permit Number:
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: 10 Lake Vista Trail 105 Port St. Lucie, FL 34952
Legal Description: Vista St. Lucie Building 10 Unit 105
Property Tax ID #: 3422-500-0131-000-7
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
I Replace 30 gallon electric water heater (like for like)
Lot No._
Block No.
Haaitronal worK to DflasTank
ormea unser tnis permit— cnecK an apply:
HVAC OGas Piping _ Shutters 0. Windows/Doors
11 Electric � Plumbing O Sprinklers I Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 900.00 Utilities.12 Sewer 0 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Dorothy Holmes
Name: Gary W. Zanello
Address: 10 Lake Vista Trail 105
Company: Pork St. Lucie Plumbing
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No.772 879-6257
E -Mail:
Address: 5907 Heritage Dr.
City: Port St. Lucie State: FL
Zip Code: 34952 Fax: 772 489-9126
Phone No. 772 468-6524
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: portstlucieplumbing@gmail.com
State or County License: 'CFC05B025
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAVA! INFORMATION: I
DESIGNE
Name: _
Address:
City:
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Marne: _
Address:
City:
Zip:.
Phone:
Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
Address:
State: City: State:
Zip: Phone:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
Zip: Phone -
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 Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and re%Aew your deed for any restrictions wkridl 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 exemptfrom undergoing a full concurrency reneur 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 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
commencing work or recording your Notice of Commencement.
STATE OF FLORIDA
COUNTY' OF sr L-ia
STATE OF FLORIDA
COUNTY OF s«
The forgoing instriy riir sas acknowledged before me The oing in adatowledged before me
this day of z0 I Zby this day of� 20 % % by
G,afy W. Zaneuo = Gmy w Z.2ne1b
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public S of Florida) (Signature of Notary Public State Florida)
Personally Known x OR Produced Identification Personally Known x PIXoduced Id tib o .
�1 F1 «,, i Rin Type of identification Pr
Type of Identficatian Produ 4'a� d� � ��� Yp 9 .r
Q �� - COMMISSION tFF90I099
=a MMISSION AFF901099 EX gust 25,2019
Commission Na. FF Slogs � �=(SeaI GREs: August 25, 2ot9 Commission No.
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Revised 07/15/2014
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