HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10118/2018
C[)(UA q Y
F L Q R I 6 A.
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 %x
Address: 7309 Reserve Creek Dr. Port St Lucie, FL 34986
Legal Description: Reserve Creek Parcel 5 Lot 1
Property Tax ID #: 3322-601-0021-000-6
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Replace 40 gallon electric water heater in attic (like for like)
Lot No.1
Block No.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that appy:
❑HVAC Gas Tank E]Gas Piping 1:1nGenerator
Shutters E]Windows/Doors
11 Electric Plumbing USprinklers Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 960.00 Utilities:0Sewer QSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Stephen Nararetta
Name: Gary W. Zanello
Company: Port St Lucie Plumbing
Address -7309 Reserve Creek Dr.
City: Port St Lucie State:FL
Zip Code: 34986 Fax:
Phone No. 772 359-3222
Address: 6907 Heritage Dr
City: Port St Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 772468-6524
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: portstlucieplumbing@gmaii.com
State or County License: CFC058025
It value of construction is X2500 or more, a RECORDED Notice of Commencement is required,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
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_
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 Horne 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
commencing work or recording your Notice of Commencement_
Rev. 8/2/17
Signatur f Cantr or/License Holder
Signature f Own r Lessee/Contractor as Agent for owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFA—
COUNTY OFn
The forp o��ng instrument was acknowledged before me
this /Way of ��� 20O by
The forgoing instru , ept was acknowledged before me
94
thisA5ihiayof �� 20, by
Gary W. Zanello
Gary W_ ZansNo
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
`�¢�•.� Danielle Iiiglin:
'Danielle Biglin
COMMISSION IFF901
(Signature of Notary Public- a$ Q reel) EXPIRES: Atioust 25.2
99
(siignature of Notary Public- l @da EX
i9 ) P1RES: ArlQust 25.2019
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17