HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: February 06, 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 Residential XX
PERMIT TYPE:Plu I"l'ibing
PROPOSED INPROVEMENT LOCATION:
Address: 8295 Spicebush Terr Port St Lucie, FL 34952
Property Tax ID#: 3426-703-0096-000-4 Lot No. 82
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace 40 gallon electric water heater(like for like)
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: $ 850.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Richard Meshelany Name:Gary W. Zanello
Address:8595 Spicebush Terr Company:Port St Lucie Plumbing
City: Port St Lucie State: Address:6907 Heritage Dr
Zip Code: 34952 Fax: City: Port St Lucie State:FL
Phone No.772 336-8373 Zip Code: 34952 Fax_ 772 489-9126
E-Mail: Phone No772 468-6524
Fill in fee simple Title Holder on next page(if different E-Mail portstlucieplumbing@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 roams 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.
Signature Owner/L see/Contractor as Agent for Owner Signature Contra_cto6ticense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSt.Lude COUNTY OFst.weie
The f rg ng instru nt acknowledged before me The f r ing instru a was acknowledged before me
this lay of zOl9 by this of 20a 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 Biglin `
raf: " �!"�,,,,R Danielle Blglln
7 �'= rnmmiMoN
#FMM
(Signature of Notary P ic- }o-da ) EXPIRES:August 25,2418 (Signature of Notary Publi� oridMIfiES:August 25.2015
+''``•` WSW AAA N07ARYCOM .,���" ,+ •' wwwAARONNOTARY.COM
soloss aioss +++.' . (Seal)Commission No. FF (Seal) Commission No.REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 9/215/18