HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: March 05, 2018 Permit Number:
J = -
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 0
PROPOSED IMPROVEMENT LOCATION:
Address: 8 Lake Vista Trail 204 Port St Lucie
Legal Description: Vista St. Lucie Building 8, Unit 204
Property Tax ID #: 3422-500-0109-000-4 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 t apply:
HVAC n Gas Tank ®Gas Piping _ Shutters a Windows/Doors
LJ Electric R1 Plumbing Sprinklers 11 Generator E]Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 850.00
S Ft. of First Floor:
UtiIities:LiSewer 11 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Donna Chandler
Name: Gary W. Zanello
Address: 15 Lake Vista Trail 102
Company: Port St Lucie Plumbing
Address: 6907 Heritage Dr
City: Port St. Lucie State:FL
Zip Code: 34952 Fax:
Phone No.772 812-3068
City: Port St Lucie State: FL
Zip Code: 3452 Fax:
Phone No. 772 468-6524
E -Mail: portstlucieplumbing@gmail.com
State or County License: CFC058025
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner fisted above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERANGINEER. 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:
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Personally Known x d IckXWjs*o1 Wj8 99
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 ail 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
rnmmwnrinls vunrk or recording vour Notice of Commencement.
Rev. 8/2/17
,
Sign r of C}jiimer/ Lessee/Contractor as Agent for Owner
Sgnat of con or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF--
COUNTY OF --
The forgoing instru nt w s acknowledged before me
The fo oing instru fent s acknowledged before me
May ( Cc 7-0 19 by
this lday of CZ f G 20j, by
this of
emyW. zardoo
Gary W. zonelo
Name of person r ' Cement Danielle Biglin
Name of person f' meat DaliieW Bigli11
Personally KnowWi�!d IdqU#*ApryE%gI
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Personally Known x d IckXWjs*o1 Wj8 99
Type of Identification EXPIRES: August 25, 2019
Produced '%, � www.AARONNoTARY.com
Type of Identification = EXPIRES: August 25.2019
Produced ° c ` WWWAMRONNOTARY.COM
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{Signature of Notary Public- Sta of Florida )
{Signature of Notary Public tate of Florida }
Commission No. FF9014M (Seal)
Commission No. FF90I09s (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17