HomeMy WebLinkAbout18, 205All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/01/2019
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
PERMITTYPE:PIumhing
PROPOSED IMPROVEMENT LOCATION:.
Commercial Residential xx
Address: 18 Lake Vista Trail 205 Port St. Lucie, FL 34952
Property Tax ID #: 3422-500-0250-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace 30 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
Electric
Total Sq. Ft of Construction:
Plumbing —Sprinklers
Cost of Construction: $ 900.00
Generator
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
Lot No.
Block No.
Windows/Doors
Roof
Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR: -
Name Raelene Ramsey
Name: Gary W Zanello "
Address: 18 Lake Vista Trail 205
City: Port St Lucie State:
Zip Code: 34952 Fax:
Phone No. 772 337-1765
Company: Port St. Lucie Plumbing
Address: -6907 Heritage Dr.
City: Port St Lucie State: FL
Zip Code: 34952 Fax: 772 489-9126
Phone N0772 468-5524
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail Portstiucieplumbing@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
Name:
Address:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
City:
Zip: Phone:
Zi:: 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 paying twice for,
improvements to your property. A Notice of Com' "mencement 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
cornmencim work or recording= vour Notice of Commencement.
A& �LIIV
ignatu Owner ssee%C ntractor as Agent for Owner
7J;J
26a'MZ�JZO
Signatur of ntra icerise-'14-order
STATE OF FLORIDA
STATE OF FLOR A
COUNTY OFst Lde
COUNTY OFst Lucie
The fo go'ng instru ent s acknowledged. before me
this day of 26A by
The fo go'ng instr4mentkw acknowledged before me
this day of 20 %9 by
Gary W_ Zanello
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
• }►V•' �, , Daardella Biglin
• MMION IFS01099
C{IMMiSSM OF911099
(Signature of Notary Pu i - FXPRtES; August
' VFlori '•''a`
(Signature of Notary Pu4111.,
Aida)
www.AwtiNoTARY:COM
•' s. yyyyIN. ONNOTARY.COM
;%.
mutt
Commission No. FF901099 (Seal)
"A
Commission No. FF901a93 (Seai)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ncv. ZF/ Lo/ is