HomeMy WebLinkAboutPERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/17/17
CQUiVTY
F C O R I O P,
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 E
PROPOSED IMPROVEMENT LOCATION:
Address: 320 NE Solida Dr Port St Lucie
Legal Description; River Park Unit 9 Part C Blk 72 Lot 28
Property Tax ID #: 3419-570-0006-000-9
Site Plan game:
Project Name: _
Setbacks Front
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 40 Gallon natural gas water heater (like for like)
Lot No. 28
Block No. 72
Aaaittonai worn to r3je�errormea under this permit— cnecK an apply:
HVAC 4_J Cas Tank ❑Gas Piping _ Shutters Q Windows/Doors
11 Electric R] Plumbing Sprinklers 0 Generator Roof Roof pitchy
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 950.00 UtilitiesSewer 0 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameThomas Gower
Name: Gary Zanello
Company: Port St Lucie Plumbing
Address: 320 NE Solida Dr
City: Port St Lucie State:FL
Zip Code: 34983 Fax:
Phone No. 772-267-2660
Address: 6907 Heritage Dr
City: Port St Lucie State: FL
Zip Code: 34952 Fax: 772-489-9126
Phone No. 772-468-6524
E -Mail: portstiucieplumbing@gmaii.com
E -Mail:
Fill in fee simple Title Holder on next page (if different
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
City:
Zip: Phone:
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, wails, 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
.UIIIIl1ClI9_1II r, 1NUTAUi I t:!f-U I U! I Ig YUUI IVUIII:eU! I..UIIIIIle I{.:el{I(erIL.
9 1 A4.4ZI
Signaf 'e of i� ner/ Lessee/Contractor as Agent for Owner Sign f Con orf License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFA COUNTY OF --
The forgoing instru 2 t was acknowledged before me The forgoing instru e t was acknowledged before me
this � day of 7` 1201-7 by this / 7 day of 6C7 2o`7 by
Gary W. Zanello Gary w. Zanello
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Publ61
- tate of Florida } (Signature of Notary Public- Stat9l Florida)
Commission No. rFsoaaoss,o�v .,._l! eal) Danielle BigCommission No. so+oss ;.' �....ua� ` (Sealpanialle Biglin
_* =
COMMISSION YFF901 99 .* COMMISSION OFF901099
EXPIRES: August 25, 2 19 _ - EXPIRES: Augusl 25, 2019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. $/2/17