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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 09/26/2017 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 PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 5111 Sunset Blvd. Ft. Pierce FL 34982 Commercial Residential x Legal Description: Indian River Estates Unit 7 Block 52 Lot 29 Property Tax ID #: 3402-608-0469-000-4 Site Plan Name: Project Name: Setbacks Front Back: Right Side: DETAILED DESCRIPTION OF WORK: Replace 40 gallon electric water heater (like for like CONSTRUCTION INFORMATION: i1: � 1111rial work toe e Orme un er 0 HVAC Gas Tank LJ Electric 21 Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 450.00 OWNER/LESSEE: Name Patricia Yates Address: 5000 Sunset Blvd tnis permit — ci OGas Piping Sprinklers Lot No. 29 Block No. 52 Left Side: apply: _ Shutters E] Windows/Doers QGenerator 0 Roof S Ft. of First Floor: _ Utilities:0Sewer FISeptic City: Ft Pierce FL — State: Zip Code: 34982 Fax: Phone No. 772 464-9614 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: Portstlucieplurnbing@gmail.com State or County License: CFC058025 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. E Roof pitch Ct3U NT Y 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 PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 5111 Sunset Blvd. Ft. Pierce FL 34982 Commercial Residential x Legal Description: Indian River Estates Unit 7 Block 52 Lot 29 Property Tax ID #: 3402-608-0469-000-4 Site Plan Name: Project Name: Setbacks Front Back: Right Side: DETAILED DESCRIPTION OF WORK: Replace 40 gallon electric water heater (like for like CONSTRUCTION INFORMATION: i1: � 1111rial work toe e Orme un er 0 HVAC Gas Tank LJ Electric 21 Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 450.00 OWNER/LESSEE: Name Patricia Yates Address: 5000 Sunset Blvd tnis permit — ci OGas Piping Sprinklers Lot No. 29 Block No. 52 Left Side: apply: _ Shutters E] Windows/Doers QGenerator 0 Roof S Ft. of First Floor: _ Utilities:0Sewer FISeptic City: Ft Pierce FL — State: Zip Code: 34982 Fax: Phone No. 772 464-9614 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: Portstlucieplurnbing@gmail.com State or County License: CFC058025 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. E Roof pitch SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: Address: City: Zip: Not Applicable State: Phone FEE SIMPLE TITLE HOLDER: Name: Address:. City: Zip: Phone: Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip: _ Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: Not Applicable State: Not Applicable OWNER/ CONTRACTOR AFFIDVIT; Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. which is inoconflict with any applicable IHomeaOwners Associpermit tion rule8 bylaws or and covenants that maty restrir subject ohiblt s 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 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 Commencina work or recording our Notice of Commencement. of C)/ ner/ Lessee/Contractor as Agent for owner STATE OF FLORIDA COUNTY OF -- The f r oing instru entjwas acknowledged afore me this day of T• 20Jby Gary W. Zanella Name of person making statement Personally Known x OR Produced Identification Type of Identification Produced �i lullwg Danielle Biglin (Signature of Not Pt c- tQ Flor ► ISSION OFFN1099 tx ES: August 25.2019 Commission No. FF901409s%.,'�lC�" r•�4N1"IJ0NNOTARy.0W REVIEWS IFRONT ZONING COUNTER REVIEW [SATE RECEIVED DATE COMPLETED Rev. 8/2/17 Holder STATE OF FLORIDA COUNTY OF -- The forgPoing instrum nt w s acknowledged before me thiso2(l day of 20YZ by Gary W. Zartello Name of person making statement Personally Known x OR Produced Identification Type of Identification Produced �` `�•�u,�, Danielle Biglin (Signature of Nota PtR*c- t f Flo g: August 25, 2019 rn COmission No. FF901099'��hr� �ti`�`"WWW• ARONNOTARY.COM (Seal) SUPERVISOR REVIEW ! VREV EW ON SEA REVIEW MANGROVE