HomeMy WebLinkAboutBuilding Permit Application Oct 29 18 03:30p Port St.Lucie PlumbingH 772 489-9126 p.1
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AU.APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �t
Date: 10/2912018 Permit Number: I O /O 0056
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COUNTY
F L O R I D A
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
230D Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Plumbing El
PROPOSED IMPROVEMENT LOCATION:
Address: 12 Lake Vista Trail 206,Port St Lucie, FL 34952
Legal Description: Vim St. Lucie Building 12 Unit 206
Property Tax ID#:3422-500-0167-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: _Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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Run hot and cold water lines overhead to utility room and install new washer box
CONSTRUCTION INFORMATION:
Additional work to be rformed under this permit—check all:hat apply:
QHVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers El Generator Roof I Roof pitch
Total Sq, Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 850.00 Utilities: Sewer ElSeptic Building Height:
OWNER/LESSEE: • CONTRACTOR: •
Name Vito Ferrante Name: Gary WZanello
Address:4 Terra Pines Gate Company: Port St Lucie Plumbing
City: Yaphank State:N ' Address: 6907 Heritage Dr
Zip Code: 1i980 Fax: City: Port St Lucie State:FL
Phone No.772 878-6632 Zip Code: 34952 Fax: 772 489-9126
E-Mail: Phone No. 772 468-6524
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Fill in fee simple Title Holder on next page(if different E-Mail: portstlucieplumbing@gmail.com
from the Owner listed above) State or County License: CFC058025
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Oct 29 18 03:30p Port St.Lucie PlumbingH 772 489-9126 P.2
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: ,
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
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Name: Name: •
< 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 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.
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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.
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Signature Own r ee/Contractor as Agent for Owner
1 Zr ;iitliieje
Signatur Contr or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
1 COUNTY OF COUNTY OF.,.....
The foEs7ing instrun)e9tivap acknowledged before me The for instnAler %,vfs acknowledged before me
thisly. day of .r-7,3,9et- ,20/B by this' day of CA".IA.pei- ,20/6 by
Gary W.Zara() Gary W.Zanelle
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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
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/412rilid& ' 1 11;17P Danielle Biglin i . // i Aq -:'-,
,vr,..0„,.•s Danielk SiglIn
-//1...4H-. lida)EXPIRES:August25.20-10
doe;:'4, 4.4. ,t1.7 '
"" COMMON /090109' • -
WWW.RARONNOTARY.COM
(Signature of Notary Public- :47-10 irilli) own,:,trusi 25 2115 Signature of Notary Public-
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474,64:,nmx.a..pea 0 WWW.AARMINDTARY.M. .
Commission NO. FFg°14°99 Lommission No.FP-arm-99 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED '
DATE ;
I COMPLETED i
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Rev.8/2/17
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