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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 01/31/2018 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1.553 Fax: (772)462-1578 Commercial Residential x PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 26 Lake Vista Trail 204 Port St. Lucie Legal Description: Vista St. Lucie Building 26 Unit 204 Property Tax ID#: 3422-500-0361-000-8 Lot No. Site Plan !Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side DETAILED DESCRIPTION OF WORK: Replace 30 gallon electric water heater (like for like) CONSTRUCTION INFORMATION: Additional work to e e orme under this permit—check a apply: ©HVAC []Gas Tank F]Gas Piping _Shutters Windows/Doors Electric ® Plumbing Sprinklers E Generator 1:1 Roof Roof pitch Total Sq. Ft of Construction: Sci. Ft. of First Floor: Cost of Construction:$ 900.00 Utilities: Sewer F1 Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameVirginia Levy Name: Gary W Zanelio Address.32 Lake Vista Trail 107 Company: Port St Lucie Plumbing City: fort St Lucie State:Fl Address: 6907 Heritage Dr Zip Code: 34952 Fax: City: Port St Lucie State:FL Phone No.772 340-7580 Zip Code: 34952 Fax: 772 489-9126 E-Mail: Phone No. 772 468-6524 Fill in fee simple Title Holder on next page(if different E-Mail: portstlucieplumbing@gmall.com from the Owner listed above) State or County License: CFCG58025 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 permitto 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 commencing work or recording our Notice of Commencement. gjw/V/L� ex"w _,1e Signat;re of?Xner/Lessee/Contractor as Agent for Owner Signatirkl/of Conte or/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF-- COUNTY OF--- The forgoa,ing in ment was acknowledgeA before me The forgoing inst ment was acknowledged before me this.day of 20/6 by thisday of a, 200 by Gary W.7anello Gary W_ZaneUo 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 Ry.r3p��r� Danielle Biglin Danielle Biglin la F?-FWT099-- (Signature of Notary Pub Agla] EXPIRES:Most 25,2of (Signature of Notary�fibi t of F � :Aupust 25,2438 .�' WWW AARONNOTARY.COP � �+, 4FR r` W W� RONPi TARY.COM Commission No. FF9014099 "+m��ta� (Seal) Commission No. Fr9010 ++u,�,�,;n�'` ISeal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17