HomeMy WebLinkAboutBUILDING PERMIT All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: February 04, 2019 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 X Residential.
PERMIT TYPE:Plumbing
PROPOSED INPROVEMENT LOCATION:
Address: 6810 Heritage Dr Port St. Lucie, FL 34952
Property Tax ID#: 3415-702-0014-000-9 Lot No.15
Site Plan Name: Block No.
Project Name:
[DETAILED DESCRIPTION OF WORK:
Run water line from meter to building
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Mechanical Gas Tank Gas Piping _Shutters _Windows/Doors
Electric v' Plumbing _Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 750.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameDouglas Rentals FL LLG Name:Gary W Zanello'
Address:24 W Harbour Isle W Dr. Unit 303 Company.Port St Lucie Plumbing
City: Ft. Pierce Staterk Address:6907 Heritage Dr
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.970 218-2201 Zip Code: 34952 Fax: 772 489-9126
E-Mail: Phone No 772 468-6524
Fill in fee simple Title Holder on next page(if different E-Mail portstiucieplumbing@gmail.com
from the Owner listed above) State or County LicenseCFC058025
If value of construction is$2500 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 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: 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 leader or an attorney before
commencing work or recording our Notice of Commencement.
9/ Id 3"
Signature of er/Less /Contractor as Agent for Owner Signature of tracto License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY 0FStLucie COUNTY OFStLucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 91 . day of February20� by this-4.• day of February 20 P? by
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
Danielle$iglin .*� f
D_avz� 1 Danielle Biglin
ftMI(Signature of Notary Pubk o lorIARES.Aupusl25.2719 (Signature of Notary Pu c- _ Flor g;Aupusl25.26i9
,� �lMflONN07ARY.C4 yyyfVj R �NOTARYXOM
FF901099 '��i OPFLv'ti��1 � l FF9010994F .t`rA� [
Commission NO. r,......,«ti� ea Commission NO, l4w�u��� ea
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.9/26/18