HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/61201&q Permit Number:
` . o iJ
•118 I .
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
Address: 171 Princess Dr. Port St. Lucie
Legal Description: River Park Unit 3 Tract E Block 137 Lot 7
Property Tax ID #: 3419-520-0045-000-9
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 40 gallon electric water heater (like for like)
Lot No.7
Block No. 137
CONSTRUCTION INFORMATION:
Additional workto be performed under this permit — check a appy:
E]HVAC L_I Gas Tank Gas Piping _ Shutters Q Windows/Doors
11 Electric❑ Plumbing Sprinklers Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction:_
Cost of Construction: $ 900.00
S Ft. of First Floor: _
Utilities: -Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameAmber Vinz
Name: Gary W. Zanello
Company: Pork St Lucie Plumbing
Address:711 SE Celtic Ave
City: Port St Lucie State:FL
Zip Code: 34983 Fax:
Phone No.801-4550 Kaylee/Allo
Address: 6907 Heritage Dr
City: Pork St Lucie State: FL
Zip Code: 34952 Fax: 772 489-9126
Phone No. 772 468-6524
E -Mail:
Fill in fee simple Title Bolder on next page (if different
from the Owner listed above)
E -Mail: portstiucieplumbing@gmaii.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:
City:
Address:6907 Heritage Or
City:
Zip: Phone:
Zip: Phone:
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, 1 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.
er/ Lessee Contractor as Agent for Owner
=F'LORIDA
Signu of actor/License Holder
STATE OF FLORIDA
COUNTY OF--
COUNTY OF--
The f�or,oing inst rent was acknowledged, before me
this rOYn day of 99 20by
The f r Ping instr ent was acknowledgedbefore me
this Jday of j�,Z ZQ 20by
Gary W. Zanello
Gary W. Zanallo
Name of person making statement
Name of person making statement
Personally Known xx OR Produced Identification
Personally Known xx OR Produced Identification
Type of Identification
Type of identification
Produced
Produced
Pr+M Danielle ftlln
(Signature of Notary Publics '# ori a) Danitlle ig III
(Signature of Notary Pue' Flori ���SS1ON �Fi90W"
�= r'`s COMMIS5109, OFF901099
= S Au®u5t25.20f9
Commission No. FF901099 * Scu II S: August 25, 2019
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FF901099 �� *11"J O7AAy.00M
Commission No. �ffIlfIP14N�,
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i11"OM1
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. $/2/17