HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/18/2019 Permit Number:
J I
e
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 El
PROPOSED IMPROVEMENT LOCATION:
Address: 29 Lake Vista Trail 202 Port St. Lucie, FL
Legal Description: Vista St Lucie Bldg.29 Unit 202
Property Tax ID#: 3422-500-0401-000-1 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:
Add itio nal.work to be peffiormed under this permit—check all apply:
11I IVAC Gas Tank ❑Gas Piping _Shutters 11 Windows/Doors
Electric ® Plumbing Sprinklers 11 Generator E] Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 950.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Diane Sullivan Name: Gary W_Zanello
Address:29 Lake Vista Trail 202 Company: Port St.Lucie Plumbing
City: Port St Lucie State-FL Address: 6907 Heritage Dr.
Zip Code: 34952 Fax: City: Port St Lucie State:FL
Phone No.772 777-2581 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: portstiucieplumbing@gmail.com
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 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
comme.ncin work or recording our Notice of Commencement.
J/_W/,4a4 a A� dL�
igna a of nerl Lessee/Contractor as Agent for owner Sign f Con or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF--- COUNTY OF--
The fgg oing instrut t was acknowledged before me The fo oing instrume t was acknowledged before me
this! _clay of /`', a4rl/ 20 by this 19 day of /!lcz-t 20 by
Gary W.Zenepn Gary W.Zanepa
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 `fJ Danielle liglin Type of Identification
Produced_ .,� Produced
COMMISSION #FMI 9
Y EXPIRES:August 25,2C 19
aF`RiM,` WWW.AARONNOTARY.0 M r u
in
(Signature of Notary P ic-State of Florida) (Signature of Notary Pub; _loricl MISSION kFVli""
EXPIRES:August 2t%
Commission No. FF9014M (Seal) Commission No. FF901699
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17