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HomeMy WebLinkAbout2705 PlacidALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 0811412018 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 PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 2705 Placid Av. Ft. Pierce, FL Legal Description: Corso Courts Lot 14 and 14 Property Tax ID #: 2421-606-0013-000-3 Commercial Residential xx Site Plan Name: Project Name: Setbacks Front Back: Right Side: DETAILED DESCRIPTION OF WORK: Replace 40 gallon electric water heater (like for like) CONSTRUCTION INFORMATION: Addi-ti-o-n-aT—w—o-rR-to-Ee-n-e-rTo-r-m-PH-iFn .i HVAC ❑ Gas Tank Electric ® Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 475.00 OWNER/LESSEE: Namedeborah Gompertz tnis permit --cl OGas Piping Sprinklers Lot No. Block No. Left Side: Shutters Windows/Doors Generator Roof Roof pitch S Ft. of First Floor: _ Utilities:U Sewer D Septic Address: 2705 Placid Ave. City: Ft. Pierce, State:FL Zip Code: 34982 Fax: Phone No. 847 366-8599 E -Mail: Fill in fee simple Title Halder on next page ( if different from the Owner listed above) Building Height: CONTRACTOR: Name: Gary W Zanello Company: Port St Lucie Plumbing Address: 6907 Heritage Dr City: Port St Lucie State: FL Zip Code: 34952 Fax: 772 489-9126 Phone No. 772 468-6524 E -Mail: Portstiucieplumbing@gmail.com State or County License: CFC058025 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. C6G1gTY F L O R 1 D n 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 PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 2705 Placid Av. Ft. Pierce, FL Legal Description: Corso Courts Lot 14 and 14 Property Tax ID #: 2421-606-0013-000-3 Commercial Residential xx Site Plan Name: Project Name: Setbacks Front Back: Right Side: DETAILED DESCRIPTION OF WORK: Replace 40 gallon electric water heater (like for like) CONSTRUCTION INFORMATION: Addi-ti-o-n-aT—w—o-rR-to-Ee-n-e-rTo-r-m-PH-iFn .i HVAC ❑ Gas Tank Electric ® Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 475.00 OWNER/LESSEE: Namedeborah Gompertz tnis permit --cl OGas Piping Sprinklers Lot No. Block No. Left Side: Shutters Windows/Doors Generator Roof Roof pitch S Ft. of First Floor: _ Utilities:U Sewer D Septic Address: 2705 Placid Ave. City: Ft. Pierce, State:FL Zip Code: 34982 Fax: Phone No. 847 366-8599 E -Mail: Fill in fee simple Title Halder on next page ( if different from the Owner listed above) Building Height: CONTRACTOR: Name: Gary W Zanello Company: Port St Lucie Plumbing Address: 6907 Heritage Dr City: Port St Lucie State: FL Zip Code: 34952 Fax: 772 489-9126 Phone No. 772 468-6524 E -Mail: Portstiucieplumbing@gmail.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 MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLIc 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 anti 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, perforin the work in accordance with the approved purrs, the Florida Building Codes and St Lucie County Amendments. The following building permit applications are exempt from undergoing a frill concurrency review: room additions, accessory structures, si�iimming 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 rnmmeinrino wnrk[ nr rprnrdina your Notice of Commencement. Rev. 812/17 Signa of er/ Lessee/Contractor as Agent for Owner sign ! f Con orf license Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF-- COUNTY OF-- The forgoing insti-Urgent wa acknowledged before me l! (S by Tire for oing instruprient wa�sy cknowledged before me this day of �i�1q C.[ 7 ! a 2Q by this day of 2Q , J GaryW.ZWXft cvyw zs-eew 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 Type of Identification Produced Produced f�' (Signature of Notary Public- `e 01 ,r i �a ] D3niBllE: Bigiin (Signature of Notary Pu _ Iori%AMISSION OFFW1099 COMMISS&I #FF901 9 = E%PIR£S: Augo 25.2019 Commission No. T%alj EXP RES: August 25.2 Zommission No. Fr -9010% %. .; ?. wk*%. * aNOTARy.cOM Vftm.AAR0nN0TARY.0 M REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SIA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 812/17