HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/28/2017 Permit Number:
•
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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 Q
PROPOSED IMPROVEMENT LOCATION:
Address: 33 Lake Vista Trail 103 Port St Lucie
Legal Description: Vista St Lucie Bldg. 33 Unit 103
Property Tax ID #: 3422-500-0451-000-6
Site Plan Name:
Project Name:
Setbacks Front Back
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Replace 34 gallon electric water- heater (like for like)
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to be
rformeo under tispermit—c ec1 a aWindows/Doors HVAC L J Gas Tank OGas Piping _ Shutters Doors
jQ
Electric L"_I Plumbing Sprinklers O Generator Roof u Roof pitch
Total Sq. Ft of Construction.
Cost of Construction: $ 850.00
OWNER/LESSEE:
Name Donald CummingstJune Vreeland
Address: 33 Lake Vista Trail 103
City: Port St Lucie State: Fl
Zip Code: 34952 Fax:
Phone No. 772 336-1296
SFt. of First Floor:
Utilities: Sewer 11 Septic Building Height:
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Gary W. Zanello
Company: Port St Lucie Plumbing
Address: 6907 Heritage Dr
City: Fort 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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City.
Zip: Phone:
r %1AtR[r!n A A I-_
City:
Zip: Phone:
.�..r I r►nt.T vn rims"V i 1 : /App icaTion is nereoy mane 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-residentiaf 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
commencing work or recording our Notice of Commencement.
45ignaef ner/ Lessee/Contractor as Agent for Owner 45ignf*Conor/ALicense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF -L— COUNTY OFA--
The for oing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
thisa7 day of t ZO 17 by this aS day of DZEx,. 20 1-7 by
Gary W. Zanelb 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 Public- St � �ida) Danielle Biglit� tSignature of Notary Pub State of FI ida }
rr9otaass = COMMISSION IFf904 `it
< Y .' �o Danielle Bigiin
Commission No. _r eal} Commission No. FF901(
EXPIRES: August 25.2D - COM4ft(011111} #FF901099
WWW.AARONNOTARY.CO EXPIRES: August 25, 2019
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
Zev. 812/17