HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
natp• April 9. 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
Commercial Residential xx
PERMITTYPE:Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 26 Lake Vista Trail 101 Port St. Lucie, FL 34952
P ro pe rty Tax 1 D #: 3422-500-0351-000-5
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:
_IVlechanical,/Plumbing
Tank _ Gas Piping Shutters
Electric ✓ Plumbing — Sprinklers 4 Generator
Lot No.
Block No.
Windows/Doors
Roof Pitch
Total Sq. Ft of Construction:
5q. Ft. of First Floor:
Cost of Construction: $ $50.00 Utilities: —Sewer , Septic Building Height:
OWNFRAESSEE:
CONTRACTOR:
Name Ruth Faust_,
Name: Gary W. Zanello "
Address:26 Lake Vista Trail 101
Company: Port St Lucie Plumbing
City: Fort St Lucie State:
Address: 6907 Heritage Dr
Zip Code: 34952 Fax:
City: Port St Lucie FL
State:
Phone No. 772 373-9324
Zip Code: 34952 Fax: 772 489-9126
E -Mail:
Phone No 772 468-6524
Fill in fee simple Title Halder on next page ( if different
E -Mail portstiucieplumbing@gmaii.com
from the Owner listed above)
State or County License CFC058025
if value of construction ie 49Snn nr mnrn � Drrr%DnGn 1.1 a: _c
-. ------..—_— .- • I..... aUG111C11L 1? UegUlreQ.
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:
Zio:. 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 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 Cor 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
commencing work or recording vour Notice of Commencement_
ignatu Owner sseeJContractor as Agent for Owner
�z
Signatur of ntra
icense- o der
STATE OF FLORIDA
STATE OF FLOR A
COUNTY OFstLucie
COUNTY OFsr-Lupe
The f r ging instru nt w
this day of
acknowledged before me
20 _ by
The forgoing Instru ent w° acknowledged before me
this d& IQ
of
20 by
Gwy W- Zanello
Cary W- Zandlo
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
• ' �. 8-� Danielle 8lglin
�w�yl�,++! ,r, Daniek Biglin
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COMMISSION #FMI 9
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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