HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: December 28, 2018 Permit Number:
s
Building Permit. Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34082
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Plumbing E
PROPOSED IMPROVEMENT LOCATION:
Address: 320 NE Solida Dr Port St Lucie FL 34983
Legal Description: River Park Unit 9 Block 72 Lot 28
Property Tax ID #: 3419-570-0006-00-9
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Run new 3/4" cold water line from behind water heater overhead to hall bathroom
Lot No. 28
Block No. 72
CONSTRUCTION INFORMATION:
Additional work to be performedunder this permit— ch,,l all appy:
HVAC L_J Gas Tank Gas Piping Shutters Windows/Doors
Electric ❑� Plumbing Sprinklers Generator Roof Root pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 1,200.00
SFt. of First Floor: _
Utilities:cn Sewer _ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name`rhomas Gower
Address: 320 NE Solida Dr
Name: Gary W. Zanello
Company: Port St Lucie Plumbing
City: Port St Lucie State:FL
Zip Code: 34983 Fax:
Phone No.772 267-2664
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
If value of construction is $2500 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:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: 6907 I-Ierita9e Dr
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.
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.
4w, i
1 J��W&
Signature of ner/ Le ee/Contractor as Agent for Owner
Signature of ontractor icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF—-
COUNTY OF--
The for oing instru ent was acknowledge before me
The for oing instru,�nt was acknowledged before me
/tS
this day of by
thiso2 day of 2710 20 by
Gary W. Zanella
Gary W. Zanello
Name of person making statement
blame 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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•`'0" �,, Danielle Biglin
4,lux,
,,,• Danielle Bi lin
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Commission No. t`�.�
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17