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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 14131/2018 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 E PROPOSED IMPROVEMENT LOCATION: Address: 9514 Shadow Ln Ft, Pierce, FL 34951 Legal Description: Monte Carlo Country Club Unit Two Lot 226 Property Tax ID #: 1334-502-0107-000-0 Site Plan dame: Project Name: _ Setbacks Front Back: Right Side: Left Side: Lot No -226 Block No. DETAILED DESCRIPTION OF WORK: I Replace 50 gallon electric water heater (like for like) CONSTRUCTION INFORMATION: CONTRACTOR: Name Gary Lee Address: 9514 Shadow Ln Name: Gary W Zanello Additional work toa er orme under this permit– c ec a appy: City: fort St Lucie State: FL Zip Code: 84952 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) HVAC - Gas Tank E]Gas Piping T Shutters Windows/Doors nElectric RIPlumbing Sprinklers FI Generator 0 Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ 850.00 Utilities:n Sewer F—] Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Gary Lee Address: 9514 Shadow Ln Name: Gary W Zanello Company: Port St Lucie Plumbing City: Ft. Pierce State:FL Zip Code: 84951 Fax: Phone No. 772 332-0100 Address: 6907 Heritage Dr City: fort St Lucie State: FL Zip Code: 84952 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@gmaii.com State or County License: CFC058025 IT value or construction is �iZ3ou or more, a RECORDED Notice of commencement is required. OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 1 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 most be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with leader or an attorney before commencing work or recordingour Notice of Commencement. Rev. 8/2/17 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: QESIGNER/ENGINEE#i: Not Applicable 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 Name: Name: Signatur f Con or/License Holder Signature f Own r essee/Contractor as Agent for owner STATE OF FLORIDA STATE OF FLORIDA COUNTY OF-- COUNTY OF-- The forgoing instru e t as acknowledged before me 4L day /3 The forgoing instr m t as acknowledged before me Oct der this of CDG' 20 by this day of 26Z& by Gary W. 7arao Cary W. ZanEllo !Name of person making statement Name of person making statement Personally Known x OR Produced Identification Address: City: Type of Identification Type of Identification City; Zip: Phone: Produced Zip: Phone: Danielle Biglin OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 1 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 most be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with leader or an attorney before commencing work or recordingour Notice of Commencement. Rev. 8/2/17 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: QESIGNER/ENGINEE#i: Not Applicable 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 Name: Name: Signatur f Con or/License Holder Signature f Own r essee/Contractor as Agent for owner STATE OF FLORIDA STATE OF FLORIDA COUNTY OF-- COUNTY OF-- The forgoing instru e t as acknowledged before me 4L day /3 The forgoing instr m t as acknowledged before me Oct der this of CDG' 20 by this day of 26Z& by Gary W. 7arao Cary W. ZanEllo !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 $iglin Danielle Biglin (Signature of Notary Public- etSM�llsst©w Pi�t E[PiHES: August 75.2 s Signature of Notary Public j'cl�9da) pE�� � upu��. � g Commission NO, FF961dOS5 f1FiL � �N.0TARY.C4M �OmmlSslon �li%ltlY*`` 411111 �l)W.RARON�1pTARY.G {S`�� NO_ FF9074fl94 REVIEWS FRONT ZONING SUPERVISOR. PLANS VEGETATION SEATtIRTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED RATE COMP LETEf�