HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/3012018 Permit Number:
LAW
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Port fierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
Ell
PROPOSED IMPROVEMENT LOCATION:
Address: 7503 Penny Ln Ft Pierce
Legal Description: Lakewood Park Unit 7 Block 81 Lot 22
Property Tax ID #: 1301-607-0300-000-3
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 40 gallop electric water heater (like for like)
Lot No. 22
Block No. 81
Haaitional worK to ue errormea unaer tnis permit– cnecK an apply:
n
LJHVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
11 Electric I!'_! Plumbing Sprinklers 1-1 Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 900.00 Utilities: Sewer Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Belgao Holdings LLC
Name: Gary W- Zanello
Address: 801 S Ocean Dr Unit 1105
Company: Port St Lucie Plumbing
City: Ft. Pierce State:FL
Zip Code: 34949 Fax:
Phone No. 918 577-7449
Address: 6907 Heritage Dr
City: Port St Lucie State: FL
Zip Code: 34952 Fax: 772 489-9126
Phone No. 772 468-6524
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: por#stlucieplumbing@gmall.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: i Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE BOLDER: T Not Applicable
Name:
BONDING COMPANY: Not Applicable
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
commencine work or recordine your Notice of Commencement.
Signa a of ner/ Lessee/Contractor as Agent for Owner
Sign f Con or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFA--
COUNTY OF --
The forgoing -instrqment was acknowledged before me
The forgoing instr mend was acknowledged before me
this day of r,Z0� by
this day of r'� i 20 E8 by
Gary W. Zanello
Gary W. Z_anelio
Name of persoatement a ielle131glin
Marne of person making, tement
Personally Known x 0 ` IdentifiPAWe Biglin
Personally Known x cedUNMI IONt001ON
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Type of Identification COMMISSION #�Ff9Qlo99
_ EXPIRES: Aupust 25�T9""""'"
Type of Identification aa�
Produced - EXPIRES: August 25, 2019
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Produced Vwww.AARoNNoTARY.coM
WWW.AARCr4NOTAFIY.COM
(Signature of Notary Public- State of orida )
(Signature of Notary Public- ate of Florida j
Commission No. FF9014099 (Seal)
Commission No. FF901099 (Seal) i
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Rev. 8/2/1.7