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
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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