HomeMy WebLinkAbout5155 Palmetto AvAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: January 25, 2019 Permit Number:
� r
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
PERMITTYPE:PIumbing
PROPOSED INPROVEMENT LOCATION:
Address: 5155 Palmetto Ave. Ft. Pierce, FL 34982
Property Tax ID #: 3403-502-0099-400-1
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace 50 gallon electric water heater (like for like)
Lot No.
Block No.
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit– check all that apply:
_Mechanical Gas Tank Gas Piping _ Shutters Windows/Doors
Electric ✓_/ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 900.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name David Bessette
Name: Gary W. Zanello'
Address: 5155 Palmetto Av
Company: Port St Lucie Plumbing
City: Ft. Pierce, State:
Zip Code: 34982 Fax-
Phone No.772 370-7677
Address: 6907 Heritage Dr.
City: Port St Lucie State: FL
Zip Code: 34952 Fax:
Phone No772468-6524
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
it value of construction is �iZ500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN 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: iNot Applicable
Name:
Address: 6907 Heritage Dr
Address:
City:
Zip: Phone:
City:
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 our Notice of Commencement.
+ignu er/ Lessee Contractor as Agent for Owner
Sign u of actor/License Holder
FLORIDA
STAT OF FLORIDA
COUNTY OF----
COUNTY OF --
The for Ding instru nt was acknowledged before me
this o2 day of Qr 20� by
The forgoing inst meat was acknowledged before me
this day of( 20by
Gary W. Zanello
Gary W. Zanello
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
% .r!/
n „r
lil �l� Danielle Biglin
(Signature of Notary Public Fri lorida) [�afilEil9 19F
IDN
(Signature of Notary P lie e�tFlori 1 IFF901i 9
(COMMISSION IFM1099
= 25, T 19$
25, 2019
r � S
�+ VY�A QNNOTARY.COM
FF901099 ?Fc P1t1�S: tlttli,ltst
Commission No. (Sl
`
`%•,�r'`aFF
FF3Q1099 i j1t
Commission No. ,r,,ii11a� J/
—
� wWWIAARONNOTRRY.CMA
rirrnntuv"
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17