HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/16/2016
C0UNTY
K 1. n a. t 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
Permit Number:
Building Permit Application
PERMITTYPE:Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 746 Oak St Port St Lucie FL 34952
Property Tax ID #: 3419-510-0046-000-5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial Residential xx
Repair 3/4" copper water line under slab in living room
CONSTRUCTION INFORMATION:
Lot No-21
Block No. 7
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: $ 650-00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
O W N S RAESS E E:
CONTRACTOR:
Name Richard Blough
Name: Gary W Zanello '
Address:746 Oak St
Company: Pori St Lucie Plumbing
City: Port St Lucie State:
Zip Code: 34952 Fax:
Phone No. 772 532-5907 Kevin
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
Name:
Address:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated-
1 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 COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SUE BEFORE THE FIRST INSPECTION_ IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
2 14
'4
Signat O Lessee/Contractor as Agent for Owner
Sign of rector/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St. rude
COUNTY OFst.Lucie
The forgoing instrument was acknowledged. before me
The forgoing instrument was acknowledged before me
this 16tn.. day of July._ 201 by
this"16IT' day of July 120 by
Gary kl, zar�_-llo
6clell k/. ZGAlello
Name of pe on making statement. • �
Name d person making statement.
Personally Known xx OR Produced Identification
Personally Known xx OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
"
Pv Danielle Biglin
!/� l '��•, Danielle Bi 1in
(Signature of Notary Public- f r ) commissim fFF901
99(Signature of Notary Pubs} '. �fiFioricfAIR ; August 25,2019
12 EXPIRES: Auguit 25, 2
19 ; " �yyWW.AARDNNDTARY.COM
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Commission No. FF901099 y�i�i pF , al) WWW.AARONNOTXRY.C)Comission
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NO. FF901099 r(Seal)
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Rev. 2/7/19