HomeMy WebLinkAboutBuilding Permit ApplicaitonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: August 7, 2019
COUNTY
A�
F
L
0 R
E D A"�
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34952
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE:PIumbing
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial
Address: 6804 Thoreau Terrace Port St Lucie, FL 34952
Property Tax I D #: 3415-705-0025-000-8
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace 40 gallon electric water heater (like for like)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
—Mechanical' " _ Gas Tank —Gas Piping _ Shutters
Electric /Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 900-00
— Sprinklers _ Generator
Sq. Ft. of First Floor:
Residential xx
Lot No.24
Block No. 1
Windows/Doors
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
NameJohn McCarty
Name: Gary VV Zanello
Address:6804 Thoreau Terrace
Company: Port St Lucie Plumbing
City: Port St Lucie State:
Zip Code: 34952 Fax:
Phone No.772 595-8840
Address:6907 Heritage Dr
City: Port St Lucie State: FL
Zip Code: 34952 Fax: 772 489-9126
Phone N0772 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 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 TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: 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 Commencement 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
commencima work or recording your Notice of Commencement.
ignatu 6AOwner ssee/C ntractor as Agent for Owner
Signatur of ntra icense o der
STATE OF FLORIDA
STATE OF FLOR A
COUNTY OFst Lu ci-
COUNTY OFs1_ Lucie
The forgoing instrument wa§ acknowledged before me
U
The for ping instrument was.acknowledged before me
Ati
.7 this , day of ! 2011 by
this" day of 20I9 by
Gary W. Zanelio
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
a
• • `�•��ii Danielle Biglin
, ` '� QailfElle I;IQIIn
r coMMISSION IFFS01099
COMMISSON 0M1099
(Signature of Notary Pu i - � � ida)E)(PIdM August ,
(Signature of Notary Puq' �,`FIOrI ' ZVIV
W4NIY.AAllaNNoTART.CoM
WWW.AARONNOTARYGOM
etnt�``rrijittt}����
Commission No_ FF901099 r�(Seal)
Commission No. FF90100 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 9/Ztz/ 18