HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: March 05, 2018 Permit Number:
ti - I ,a
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Fierce FL. 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 1 Lake Vista Trail 206 Port St Lucie
Legal Description: Vista St. Lucie Building 1, Unit 206
Property Tax ID #: 3422-500-0013-000-4
Site Plan Name:
Project Name:
Setbacks Front Back:
f DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Replace aft gallon electric water heater (like for like)
Lot No._
Block No.
CONSTRUCTION INFORMATION:
Additional work toe e Orme under this permit -- cJ hecck all appy:
LJ HVAC El Gas Tank ❑Gas Piping _ Shutters Windows/Doors
® Electric 0 Plumbing OSprinkiers a Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction. $ $50.00
S Ft, of First Floor: _
Utilities. —Sewer L �I Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name William Giliespie
Name: Gary W. Zanello
Address: 82 Green Rd
Company: Port St Lucie Plumbing
City: Plymouth State: Me
Zip Code: 04969 Fax:
Phone No.864 918-1263
Address: 6907 Heritage Dr
City: Port St Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 772 4686524
E -Mail:
Fill in fee simple Title Halder on next page ( if different
from the owner listed above)
E -Mail: portstlucieplumbing@gmail.com
State or County License: CFC058025
11 value of construction is X2540 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Nat Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
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 roust be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commdncine work or recordine vour Notice of Commencement.
5ignplle of ner/ Lessee/Contractor as Agent for Owner
Sign f Con or/License Halder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFA--
COUNTY OF ---
The forgoing instru nt w s acknowledged before me
l
for
The for ping instrument s acknowledged before me
f C 18
thisday ofG, 2Q by
this of
20 by
Gary W.7anello
Gary W_ zanelia
Name of person
` x 1!I ��jr p�niElie gigiilti
f entComMISSION 85.xQt9
Name of person making statement
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Personally Known x OR Pr c= ,��
ntificatidnielle Biglill
Personally Known x R 4& IdewffWdust
Type of Identification = �'/= cpMMlssiox #FF90
Wpe of Identification
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Produced = = EXPIRES: AU90 25.
00roduced
Jim'
WW'W.AARONNaTARY.OM
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(Signature of Notary Public tate of Florida)
(Signature of Notary Public- Sta of Florida )
ir
Commission Ngo. FF014D99 (Seal)
Commission No. FF901099
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. $/2/1.7