HomeMy WebLinkAbout3214 W Lake DrAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: May 15, 2019
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE:Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 3214 West Lake Dr Ft. Pierce, FI
Property Tax ID #: 2427-603-0035-000-2
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Permit Number:
Building Permit Application
Replace 30 electric Low water heater (like for like)
CONSTRUCTION INFORMATION:
Commercial Residential XX
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 V 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: -
NameJames Puled
Address:804 N Sweet Gum Av
City: Broken Arrow State:
Zip Code: 74012 Fax:
Phone No. 772 807-2883
Name: Gary W Zanello
Company: Port St Lucie Plumbing
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 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
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zi:. Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do thework 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 CoiiTmencement 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
commencine work or recordine vour Notice of Commencement.
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If 24
Signatu Owner ssee/Contractor as Agent for Owner
Signatur of ntra icensee o der
STATE OF FLORIDA
STATE OF FLOR A
COUNTY OFFWe[-
COUNTY OFst Iupe
The forgoing instrument was acknowledged. before me
The far oing instrum nt was acknowledged before me
this � day of 26LT by
this"/90 day of 20 /? by
Gary W- Zanelb Of
Gary W. Zanello
Name of person making statement.
Name of person making statement.
Personally Known xx OR Produced Identification
Personally Known J x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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• - �.� ¢��-,, Danielle Biglin
¢" �,, Danielle Biglin
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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