HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: November 22, 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: 9649 Landings Dr Port St. Lucie
Legal Description: Fairway Landings Parcel 10 Lot 5
Property Tax ID #: 3322-500-0027-000-8
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Commercial Residential x
Right Side: Left Side:
Replace 50 gallon electric water heater in garage (like for like)
Replace 50 gallon electric water heater in master bedroom closet (like for like)
Lot No.5
Block No.
❑I�
CONSTRUCTION INFORMATION:
Itra 1 wor to e e orme un er t rs permit — c ec a app y:
HVAC [] Gas Tank 0Gas Piping Li Shutters 0 Wind
owsrpoors
0 Electric 21 Plumbing Sprinklers 0 Generator EiRoof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1,700.00
OWNER/LESSEE:
NameDavid Buchanon
Sq. Ft. of First Floor:
tlti[ities:5ewer Septic Building Height:
Address: 9649 Landings Dr
City: Port St. Lucie State:FL
Zip Code: 34986 Fax:
Phone No.917 297-5734
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Gary W, Zanello
Company. Fort 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: portstlucieplumbing@gmail.com
State or County License: CFC058025
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
COUNTY
F
L
0 R t b A
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: 9649 Landings Dr Port St. Lucie
Legal Description: Fairway Landings Parcel 10 Lot 5
Property Tax ID #: 3322-500-0027-000-8
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Commercial Residential x
Right Side: Left Side:
Replace 50 gallon electric water heater in garage (like for like)
Replace 50 gallon electric water heater in master bedroom closet (like for like)
Lot No.5
Block No.
❑I�
CONSTRUCTION INFORMATION:
Itra 1 wor to e e orme un er t rs permit — c ec a app y:
HVAC [] Gas Tank 0Gas Piping Li Shutters 0 Wind
owsrpoors
0 Electric 21 Plumbing Sprinklers 0 Generator EiRoof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1,700.00
OWNER/LESSEE:
NameDavid Buchanon
Sq. Ft. of First Floor:
tlti[ities:5ewer Septic Building Height:
Address: 9649 Landings Dr
City: Port St. Lucie State:FL
Zip Code: 34986 Fax:
Phone No.917 297-5734
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Gary W, Zanello
Company. Fort 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: portstlucieplumbing@gmail.com
State or County License: CFC058025
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name: ___
Address:
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, 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
conilmencing work or recording our Notice of Commencement.
4SIgn)ajeof ner/ lessee/Contractor as Agent for Owner 4Siignfon or License Halder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF-- COUNTY OF--
The forgoing instr rpent w s acknowledged before me The for Ding instr�u�r ent w s acknowledged before me
thiso day of D'Ml" 20� by this day of /y,�t(errr �l 2017 by
Gary W. ZanelD
Gary W. 2aneRo
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
Danielle Biglin
Danielle Biglia
(Signature of Not F G a o rida JoMmiSSIDN #FI%01Q99 (Signature of Notary P ' FlortftiES: August 25.2019
EXPIRE& August 25,2019
Commission No. F 901409 �r Mwww.AARoNNoTARY.com
r""z (.RONN01A1tY,C0M Commission lVo.9nao99 �rn,�1N' www.
cSeal y
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
tev.8/2/17