HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: March 5, 2019 Permit Number:
i
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XX
PERMIT TYPE:Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: (duplex) 3216 W Lake Dr Ft Pierce
Property Tax 1D#l: 2427-603-0035-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace 30 gallon electric Low 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 Plumbing _Sprinklers Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 900.00 Utilities: —Sewer —Septic Building Height:
OW N ERAESSEE: CONTRACTOR:
NameJames Puleo Name:Gary W Zanello
Address:804 N Sweet Gum av Company:Port St Lucie Plumbing
City: Broken Arrow State:ft Addres5:6907 Heritage Dr
Zip Code: 74012 Fax: City: Port St Lucie State:FL
Phone No.772 807-2883 Zip Code: 34952 Fax: 772 489-9126
E-Mail: Phone N0772 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 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:
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.
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.
29'/ 1z
Signatu tol
Owner ssee/C ntractor as Agent for Owner Signatur of ntra icense o der
STATE OF FLORIDA STATE OF FLOR A
COUNTY OF sl_Luc�e COUNTY OFsL woe
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 6. day of Mrch 2011 by this- day of M a i"C 20/9 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 Blglln T' i ,�l;'" OvieAe Blghn
COMMISSION /FF901099
_ COMMISSION #FF901099
(Signature of Notary Puff
-$ , "9da)EXP{#1E 'Aullm (Signature of Notary Pu Flori
� i YYWWAARONNOTARI.GOM . #"`�`ti4� 1hf4YN1AARONNOTAR1'COM
Commission No. Frs°'flss Seal rso�oss 'r"",tin
(Sea[) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.