HomeMy WebLinkAboutBuilding Permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/15/2019
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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
Permit Number:
Building Permit Application
PERMIT TYPE: 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
Run hot and void water lines overhead in attic from water heater to master bathroom
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: $ 900.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Richard Blough
Name: Gary W Zanello '
Address:746 Oak St
Company: Port St Lucie Plumbing
City: Port St Lucie State:6�.
Zip Code: 34952 Fax:
Phone No.532-5907 Kevin Burns RE
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 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: i
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:_
Address:
City:
Zip.
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:_
Address:
I Citv:
Phone: I 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 lender or an attorney before
commencing work or recording your Notice of Commencement.
ltw' 46
ignatu Owner ssee/C ntractor as Agent for Owner
If 2,112 10 ��
A J — — " — -e-Alo
Signatur of ice ntra nse o der
STATE OF FLORIDA
STATE OF FLOR A
COUNTY O F st L--1-
COUNTY OF st Lucle
The forgoing instrument was acknowledged before me
The forgoing instrument w s acknowledged before me
this '.mday of ��` � 20 fq by
this :.day of iiSf 20 /Q by
Gary W. Zanello
Gary W_ Zanelh
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
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eft Mission #FfNIM
COMMISS10M #FF9010W
(Signature of Notary Pu - `ida) EXPIRM August 25,
(Signature of Notary Pu
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Commission No_ FF901034 (Seal)
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Commission No. FF-%1088 (Seal)
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