HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: November27,2017 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
PROPOSED IMPROVEMENT LOCATION:
Address: 434 SE Gasparilla Ave.Port St Lucie
Legal Description: River Park Unit 4
Property Tax ID#: 3419-530-0101-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Run new 2" PVC drain line for washing machine in back of house
CONSTRUCTION INFORMATION:
nnAdditional work to e pertormed under this permit--check a apply:
LJHVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric RI Plumbing Sprinklers El Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq�Ft.of First Floor:
Cost of Construction:$ 1,500.00 Lltilities: L�lSewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Kennehsia Cross Name: Gary W.Zanello
Address:3947 Mapletree Ct Company: Port St Lucie Plumbing
City: Loganville State:Ga Address: 6907 Heritage Dr
Zip Code: 30052 Fax: City: Fort St Lucie State:FL
Phone No.772 985-6962 Zip Code: 34952 Fax: 772 489-9126
E-Mail: Phone No, 772 468-6524
Fill in fee simple Title Holder on next page t if different E-Mail: portstlucieplumbing@gmaii.com
from the Owner listed above) 5tate 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
com-mencing work or recording our Notice of Commencement.
5Igna a of ner/Lessee/Contractor as Agent for Owner S1gnjKrk6f Con or License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF- COUNTY OF--
The forgoing instr ent was knowledged beYore me The forgpin yinstru nt was cknowledgedb before me
this a� dayof I 1 `LJ 26/ b this zz day of zV- �e.✓ Zp / b
Gary W.Zanello Gary W.Zamllo
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
aw
(Signature of Notary Public- "da) (Signature of Notary Publi Florida)UOnielle Biglin
COMMISSION IFF901099 4 F
Commission No. FFso�aos9 ;(Sea�yPIKES:August 25,2019 FF909499 +� 5Fc COMMISSIONFF90109�
rI Commission No. M�:August 25,2019
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17