HomeMy WebLinkAboutBuilding Permit Application , I
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11113/2018
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Permit Number: I 81 i 0 ga,,c(2
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COUNTY N., ,
FLORIDA
111.11111 Building Permit Application 1
Planning and Development Services i
Building and Code Regulation Division 1
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
' PERMIT APPLICATION FOR: plumbing
PROPOSED IMPROVEMENT LOCATION: • . . .
Address: 11 Lake Vista Trail 207 Port St Lucie Fl 34952
Legal Description: Vista St Lucie Building 11 Unit 207
Property Tax ID#: 3422-500-0154-000-4 Lot No.
Site Plan Name: Block No.
Project Name: i
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Run hot and cold water lines overhead to utility room and install new washer box
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CONSTRUCTION INFORMATION:
Additional work to brgsqrformed under this permit—check all apply:1
0HVAC I Gas Tank EiGas Piping Shutters El Windows/Doors
['Electric 0 Plumbing Sprinklers El Generator ED Roof - Roof pitch
Total Sq. Ft of Construction: S1.14 of First Floor:
Cost of Construction:$ 850.00 Utilities:I _Sewer n Septic Building Height:
' OWNER/LESSEE:- . .
CONTRACTOR:
Name Wallace Faintly EnterprisesName: Gary W Zanello
Address:4628 SW Leeward St Company: Port St Lucie Plumbing
• City: Port St Lucie State:FL Address: 6907 Heritage Dr
Zip Code: 34953 Fax: City: Port St Lucie State:FL
Phone No.772 233-3594 Zip Code: 34952 Fax: 772 4E39-912d
E-Mai': Phone No. 772 468-6524
Fill in fee simple Title Holder on next page(ii different E-Mail: portstluciepfumbing@gmail.com , I
from the Owner listed above) State or County License: CFC058025
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: —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:
Address: Address:
City: ,4 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
commencing work or recording your Notice of Commencement.
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Signature/f Own-r?Lessee/Contractor as Agent for Owner Signatur f C ntr or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF.L... COUNTY OF-, ..
The fopg2ing instrulint wast7cnowledgeci before me The f.,,s :sing instry jpent wastnowledged before me
this /,)7Aay of A1614 ,20 by this ii Pay of I'INR/141 X.A.),20 by
Gary W.Zane:lo Gary 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
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Danielle Siglini
4Aelritied& 4' ;,tlj V''
:.•,) .‹A Danielle Biglin
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..0:-?.. ,... COMMISMIN Off901099
(Signature of Notary Public-'146:o ;Jo rbal-4) —MI" Pflal 9Signature of Notary Public- 4: .:;1._ I da) EXPIRES:August a,2019
' • - EXPIRES:August 25,2 19
---:44<4``:•'CTS": ' &AO?' WWW.AARONNOTARY.60M
Commission No. FF9014099 '4Fyggsfs ea!)WWW.AARONNOTARY,C it , .
LornmissJon No. FF9°1408 "Wm'No`' (Seal) •
I I ,REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE I
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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931,6-6817
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