HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO (MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: September 25, 2018 Permit Number:
l14- J 7
•
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
PROPOSED IMPROVEMENT LOCATION:
Address: 2998 Fiddlewood Cr. Port St Lucie, FL 34952
Legal Description: Savanna Club Plat Two Block 16 Lot 6
Property Tax ID #i: 3425-702-0136-000-1 Lot No.6
Site Plan Name: Block No. 16
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace single handle tub and shower valve in hall bathroom, (like for like)
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name donna Libby
Name: Gary W. Zanello
Additional work to be erformed under
tispermit—check
all that appy:
Address: 6907 Heritage Dr
City: Port St Lucie State: FL
Zip Code: 34952 Fax: 772 489-9126
Phone No. 772 468-6524
E -Mail:
HVAC
E -Mail: portstlucieplumbing@gmail.com
Gas Tank
E]Gas
Piping
Shutters
Windows/Doors
11 Electric
PlumbingSprinklers
Generator
Roof Root pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 650.00
utilities:
SewerO
Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name donna Libby
Name: Gary W. Zanello
Address:2998 Fiddlewood Cr
Company: Port St Lucie Plumbing
City: Port St Lucie State:FL
Zip Code: 34952 Fax:
Phone No. 984 621-2629
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: portstlucieplumbing@gmail.com
State or County License: CFC058025
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERANGINEER: _ Not Applica ble
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
Marne:
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
commdncing work or recording your Notice of Commencement.
X, f� � V1, " a
.elf}
St'gnav& of er/ Lessee/Contractor as Agent for Owner
Stgn f Co� or/License Bolder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF--
C0UNTY OF --
The forgoing inst!u entrwas acknowledged before me
this day of ,i` za by
The forgoing instrurpent Was acknowledged before me
thisc 5 day of2a / by
Gary W- ZanMo
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
(Signature of Notary Public -t
a } Danielle Nglin (Signature of Notary Pu Fiori `WMtssloly sFF901499
?$: COMMISSION #FW1(99 +yFCommission No. FF9oikD99 mal) EXF4RES: August 26.2 `•Irommission No_ FF'a[) W9A r £XF1R�5' August 25.2169
+, WWW.MRONNOTARY.0 IFA �npu►�t,�e WAM&NNOTARY.COM
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17