HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r
Date:August 9,2017 Permit Number: ov
Building Permit Application AUG 0 9 201
Planning and Development Services,
Building and Code Regulation Division PERVff-I iTIWG
2300 Virginia Avenue,Fort Pierce FL 34982 Si. Lucie County, FL
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing Q
PROPOSED IMPROVEMENT LOCATION:
Address: 9 Lake Vista Trail 101
Legal Description• Vista St.Lucie Building 9 Unit 101
Property Tax ID#: 3422-500-0113-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 30 gallon electric water.heater(like for like)
CONSTRUCTION INFORMATION:
Additional work to be ertormed under tispermit—check all that appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric W Plumbing []SprinklersF Generator Roof Roof pitch
Total Sq. Ft of Construction: SQ. Ft.of First Floor:
Cost of Construction:$ 900.00 Utilities: Sewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Robert Santiago Name: Garyw.Zaneiio
Address:132 E Euclid St. Company: Port St.Lucie Plumbing
City:Valley Stream State•NY Address: 6907 Heritage Dr
Zip Code: 11580 Fax: City: Fort St Lucie State:FL
Phone No.516 984-0666 Zip Code: 34952 Fax: 772 489-9126
E-Mail: Phone No. 772468-6524
Fill in fee simple Title Holder on next page(if different E-Mail: portstluciepiumbing@gmail.com
from the Owner listed above) State or County License: CFC058025
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
D€SIGN ENGINEER: +Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: She:
Zip: Phone: Zip: Phone:
FEE SIMPLE I it HOLDER: _Not Applicable BONDING COMPANY: ,Not Applicable
Hattie: Names
Address: Address.--
city:
ddress:City: City:
Zip: Phone: Zip: Phone:
1 certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie unitmakes no representation that is gramiting a pemnit will authorize the permit holder to build the subj�x structure
which is in ow ctwith any applicable Home Owners Assodation rules,bylaws or an covenants that may restrict or prohibit such
structure.Please consultwmth your Home Owners Association and reulew your deed for arty restrictions Wich may apply.
to consideration of the granting ofthis requested permit,I do hereby agree that 1 wilt,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and SL Lude County Amendments-
The following building permit applications are exernptfrom 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:Yourfailure to Record a Notice of Commencement may result in your payingtwice 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 our Notice of Commencement.
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SivATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sL mu-b COUNTY OF mtw,
TheDing Instn ent admowle efore me The forgoing i ern utas owledged before me
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(Nameof person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public tate of Florida) (Signature of Notary Public-Sia of Florida)
Personally Known x ORP dentificattUdak o Personally Known x OR Produced i ification
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Revised 07115/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SE4 TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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