HomeMy WebLinkAboutBuilding Permit ApplicaitonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/1912019
i
a
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
PERIVI IT TYPEPIumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 619 Ash St Port St Lucie, A 34952
Property Tax ID #: 3419-510-0144-000-2
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace 40 gallon electric water heater (like for like)
CONSTRUCTION INFORMATION:
Commercial
Additional work to be performed under this permit –check all that apply:
_Mechanical Gas Tank Gas Piping —Shutters
__.. Electric /Plumbing
Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 000.00
Generator
Sq. Ft. of First Floor:
Residential xx
Utilities: —Sewer _Septic
Lot No.
Block No.
_ Windows/Doors
Roof
Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
NameVincent Gorham 111 Trust
Name: Gary W. Zanello '
Address:3152 SW Porpoise Cr.
Company: Port St Lucie Plumbing
City: Stuart State:
Zip Code: 34997 Fax:
Phone No.212-3579 Vera
Address: -6907 Heritage Dr
City: port St Lucie State: FL
Zip Code: 34952 Fax. 772 489-9126
Phone No772 468-6524
E -Mail:
Fill in fee simple Title Holler on next page ( if different
from the Owner listed above)
E -Mail Portstluciepiumbing@gmaiLcom
State or County License CFC058025
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:
DESIGN I_R/ENGINEER: — Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
Zip: Phone:
lIYAII►IC6/1111fT►7A/"'Tl�s1 w
Name of person making statement.
v vvliui/r ti %.#iv i nm%a i %jF% mr'riLJ vi i : Hppiication 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, 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 lend
em or an attorney before
commendpE work ,or recording our Notice of Commencement.
ignatu Owner sse4ntractor as Agent for Owner
Signatur of ntra icense o der
STATE OF FLORIDA
STATE OF FLOR A
COUNTY OF. -St Lucie
COUNTY OFstLucie
The for oing instruMent was acknowledged before me
this f day of _ 1 �'t'7l'Lt 20A by
The forgoing instrument was acknowledged before me
tills day of F0,brc(rA rV 20/? by
Gary W. Zanelin
Gary W. Zanelio
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
, " Y �,I`:` `'
1{>• �,, Danielle Giglio
f, COMMISSION #FF9GV?9
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COmmI55iDn NO. FFFF-901099099 { k
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Commission NO, FF901099 (Seal)
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
GATE
RECEIVED
DATE
COMPLETED
ev.