HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/28/2017
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
T
PROPOSED IMPROVEMENT LOCATION:
Address: 19 Lake Vista Trail 101 Port St Lucie FL 34952
Legal Description: Vista St Lucie Building 19 Unit 101
Property Tax ID #: 3422-500-0253-000-8
Site Plan Name: Lot No.
Project Name: Block No.
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 30 gallon electric water heater (like for like)
CONSTRUCTION INFORMATION:
Adailional work to fl
orme un ert rs permit— c ec a ap y:
HVAC as Tank Gas Pi in
�� ❑ p g _Shutters ❑ Windows/Doors
L I Electric IJ Plumbing []Sprinklers❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction:
S . Ft. of First Floor:
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L n
R f Q q
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
T
PROPOSED IMPROVEMENT LOCATION:
Address: 19 Lake Vista Trail 101 Port St Lucie FL 34952
Legal Description: Vista St Lucie Building 19 Unit 101
Property Tax ID #: 3422-500-0253-000-8
Site Plan Name: Lot No.
Project Name: Block No.
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 30 gallon electric water heater (like for like)
CONSTRUCTION INFORMATION:
Adailional work to fl
orme un ert rs permit— c ec a ap y:
HVAC as Tank Gas Pi in
�� ❑ p g _Shutters ❑ Windows/Doors
L I Electric IJ Plumbing []Sprinklers❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction:
S . Ft. of First Floor:
Cost of Construction: $ 900.00 Utilities: 0Sewer
❑Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NomeNorma Pizzimenti
Name. Gary W Zanello
Address: 19 Lake Vista Trail 101
Company: Port 5t Lucie Plumbing
City: Port St. Lucie State:FL
Address: 6907 Heritage Dr
Zip Code: 34952 Fax:
City: Port St Lucie FL
State:
Phone No. 772 340-7417
Zip Code: 34952 Fax: 772489-9126
E -Mail:
Phone No. 772468-6524
Fill in fee simple Title Holder on next page ( if different
E -Mail: Portstlucieplumbing@gmail.com
from the Owner listed above)
State or County License: CFC058025
If value of construction is $2500 or more, a RECORDER Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW
INFORMATION:
DESIGNER/ENGINEER:4 Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Address:
Name:
City:Address:
State:
Zip: Phone
City:
State:
Zip. Phone:
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FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY:
Address:
Not Applicable
Name:
City:
Address:
Zip:Phone:
City.
Zip: . Phone:
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.
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 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
commencin work or recordin our Notice of Commencement.
of QXner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFSZL�
The far oing instru ent,was acknowledged before me
this day of 2017" by
Gary W. ZaneEfo
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
Danielle 8'tglln
(Signature of Notary Pull - e 1Florid®MISSION OFF901099
EXPIRES: August 25.2019
Commission No. FF9014099if�. WAPONNOTARY.cOM
REVIEWS iFRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2,117
se Bolder
STATE OF FLORIDA
COUNTY OF -I -I.
Thefo^�r oing instru nen was acknowledged before me
this o� day of ,Cl 2017 by
Gary W. Zaneflo
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
Danielle Biglin
(Signature of Notary Pt c- eg`_f FlorM 1ISSION 0F901g99
EXPI ES: August 25, 2019
Commission No. FF901099 >. -p��1".�^ ww 099PWTARY.com
S REVIEWOR Rpr EVIEW f VEGETATION
$ REVIEW J REVIEWVE