HomeMy WebLinkAboutbuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/20/2019 Permit Number:
WHIM
CE7lJ 111
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Commercial
Address: 8828 Bally Bunion Rd Pork St. Lucie, FL 34986
Property Tax ID #: 3334-600-0011-000-7
Site Plan Name:
Project Name: _
Residential XX
Lot No.—
Block No.
DETAILED DESCRIPTION OF WORK: I
Replace 50 gallon LP gas 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 I Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 1,200.00
Generator Roof
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Pierre Cameron
Name: Gary W. Zanello'
Address: 1375 Chemin du Lac
Company: Port St Lucie Plumbing
City: Ste Catherine-de-Hatley QC Canada State:
Zip Code: Fax:
Phone No.Tom, House Check 882-3200
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 Holder on next page ( if different
from the Owner listed above)
E -Mail portstlucieplumbing@gmail.com
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 BOLDER: 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 1 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 fraying 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
commencirti3 work or recordine vour Notice of Commencement_
ignatu Owner ssee/C ntractor as Agent for Owner
Signatur of ntraicense o der
STATE OF FLORIDA
STATE OF FLOR A
COUNTY OFstLucle
COUNTY OFs-Lu�
The forgoing instru nt wa acknowledged before me
The forgoing instrument was acknowledged before me
this day of L 20A by
this o day of 20 N by
Gary W_ Zanello
Gary W. Zenelia
Name of person making statement.
Name of person making statement.
Personally Known xx OR Produced Identification
Personally Known xx OR Producedidentification
Type of Identification
Type of Identification
Produced
Produced
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COMMISSION *FF909099
COMMISSION #FF9010"
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
nev. Z2/ Lo/ 10