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HomeMy WebLinkAbout629 Beach AvAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: June 17, 2019 Permit Number: .- iJ, a r Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Building Permit Application PERMITTYPE:Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 629 Beach Ave Port St Lucie FL 34952 Property Tax ID ##: 3419-510-0007-000-0 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Replace 40 gallon electric water heater (like for like) CONSTRUCTION INFORMATION: Commercial Residential xx Lot No.7 Block No. 1 Additional work to be performed under.this permit— check all that apply: _Mechanical _Gas Tank ^Gas Piping _Shutters _Windows/Doors Electric Plumbing _ Sprinklers Total Sq. Ft of Construction: _ Generator Roof Pitch Sq. Ft. of First Floor: Cost of Construction: $ 850.00 Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: . Name Morissa Gustayson Name: Gary W Zanello Address:629 Beach Ave Company: Port St Lucie Plumbing City: Port St Lucie State:' AddrEss:6907 Heritage Dr Zip Code: 34952 Fax: City: Port St Lucie State: FL Phone No.-772 607-3828 Zip Code: 34952 Fax: 772 489-9126 E-Mail: Phone No772 468-6524 Fill in fee simple Title Holier on next page (if different E-Mail p°rtstluciepolumbing@gmail.com from the Owner listed above) State or County LicenseCFC058025 V value of construction is gz5vu or more, a KLUJKL U rvULILU Ui 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: MORTGAGE COMPANY: Not Applicable 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'tinencement 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 recording vnur NntirP of rnmmPnrPm¢nt ignatu Owner ssee/Contractor as Agent for Owner Signatur of ntra icense o der STATE OF FLORIDA STATE OF FLOR A COUNTY OFst Lucie COUNTY( Lucie The for oing instru�U, ,t was acknowledged before me this day G(%j� The _fafir�wing instruu)ent was acknowledged before me of 20a by this _ L day of ,lal76, 20 /Q by Gary W_ Zanello Garyw. Zanello 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 tit 7lil , • �� p Danielle Biglin v 5 tit117 q ,~ Daniel Biglin COMMISSION #FF901099 comma" 1t M1099 ida) EXPIRW Aug (Signature of Notary Pu ' -'3V;�, (Signature of Notary Pu Flori WWW.AARQNN©TAitY:C0M ',7 y ' .. ` WWW.AARONNOTARY-MM Commission No.FF901099 (Sea]) Seal 1 FF991099 Commission Na_ (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED i�cv. ✓f ul '],