HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June 06, 2098
Permit Number:
•
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 XX
PERMIT APPLICATION FOR: Plumbing
Id—
PROPOSED IMPROVEMENT LOCATION:
Address: 9620 Enclave Cr Port St Lucie
Legal Description: Enclave at the Reserve Lot 6
Property Tax ID #: 3322-800-0009-000-7
Site Pian Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 2 single handle shower valves in master bathroom (like for like)
Lot No.6
Block No.
CONSTRUCTION INFORMATION:
maitional work toe e orme under this permit —check all appy:
HVAC 11 Gas Tank ❑Gas Piping _ Shutters Windows/Doors
LJ Electric 21 Plumbing 0 Sprinklers � Generator O Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction. $ 9900,00
S Ft. of First Floor: _
Utilities:USewer OSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Thomas Ternil
Name: GaryW_Zanello
Address: 9620 Enclave Cr
Company: Port St Lucie Plumbing
City: Port St Lucie State: FL
Zip Code: 344986 Fax:
Phone No.772 828-9455
Address: 6907 Heritage Dr
City: Port St Lucie State: FL
Zip Code: 34952 Fax: 772 489-9126
Phone No. 772 468-6524
E -Mail: portstlucieplumbing@gmail.com
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: CFC058025
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
fume:
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 permitwill authorize the permit holder to build the subject structure
which is in conflict with any applicable Nome Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Nome 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 fallowing 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 mast 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 your Notice of Commencement.
Rev. 8/2/17
I�Y'ell-l;l LIZ
5ignai. �fe of i ner/ Lessee/Contractor as Agent for Owner
signatG of Con or/License Molder
STA�TTE OF FLORIDA
STATE OF FLORIDA
COUNTY OF—
COUNTY OF --
The forgoing instru nt was acknowledged before me
this � day of June 20 /8 by
The forgoing instru nt was acknowledged before me
this /0 #7 day of UA e- 20 18 by
Gary W. Zaniaa
Gary W. Zanero
Mame 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
(Signature of Notary Public- o f� a )
(Signature of Notary Pub ' arida )
COMMISSION OM10S3
Commission No. FF9D14099 j�eal) ExPIRES: August 25.2U1
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F' � COMMiSS10H Oi:f901095
Commission No. FF901p99 �F' S i S; August 25, 2019
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17