HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 8, 2019 Permit Number:
s
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 %X
PERMITTYPE:PIumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 18603 Mach One Dr Port St Lucie, FL 34987
P ro pe rty Tax I D #: 3215-801-0024-000-2
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace 50 gallon electric water heater (Like for like)
CONSTRUCTION INFORMATION:
Lot No.
Block No.
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: —
Cost of Construction: $ 900.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Evan Miller-
Name: Gary W Zanello
Address:18603 Mach One Dr
Company: Port St Lucie Plumbing
City: Port St Lucie State:
Zip Code: 34987 Fax:
Phone No.772 466-6367
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 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:
zo� 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 Nome Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Horne 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 Cohimencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with tender or. an attorney before
cornmencinE work or recordine your Notice of Commencement.
ignatur
Owner ssee/C ntractor as Agent for Owner
of
SignatuntrrA icense o der
STATE OF FLORIDA
STATE OF FLOR
COUNTY OFStLud-
COUNTY 0FStLud.
The forgoing instrum nt was acknowledged before me
The forgoing instrument was acknowledged before me
this tQ . day of ri r 20A by
this � day of F 1 20 /Q by
Gary W- ZaneAo
GaryW_ Zandle
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
`'¢" , Danielle Biglin
COMMISSION tFF901099
Ana CDMMiSS0 #M01099
(Signature of Notary Pu i - , , ida) EXPIRES: r��
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(Signature of Notary Pu - -€Fieri V9
YrW1Y AARQNlSEOTARY. CQM
�r YY►VW MRfINRiOiIWY.C(iM
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Commission No. FF901099 (Seal)
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Commission No. FF901099 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
F%CV. 7/4VI to