HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/27/2019
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Planning and Development Services
Building and Code Regulation Division
2.300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE:Plumbing
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Address: 216 E Arbor Ave Port St Lucie, FL 34952
Property Tax ID #: 3419-501-0038-000-8
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial Residential XX
Replace 40 gallon electric water heater in laundry room (like for like)
CONSTRUCTION INFORMATION:
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 Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 950.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Margaret Cantrell
Name: Gary W Zanello
Address:4254 SE Brittney Cr
Company: Port St Lucie Plumbing
City: Port St Lucie State: f�
Zip Code: 34952 Fax:
Phone No.561 818-6052 Lisa Craig
Address:6907 Heritage Dr
City: Port St Lucie State: FI
Zip Code: 34952 Fax: 772 489-9126
Phone No772 468-6524
E-Mail:
Fill in fee simple Title Holder on next page t 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 TITLEHOLDER: 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WJTH' YOUR LENDER DR AN ATTORNEY BEFORE RJECORDIING YOU, NOTICE OF COMMENCEMENT."
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ign ur f w�essee�ontractor as Agent for Owner
Signat�ire f o or/Llcens older
ST E OF FLORIDA
STATE OF FLORIDA '
COUNTY OFF -Lucie
COUNTY OFs+-Lucie
The forgoing instru ent was/acknowledged before me
this � day of u T 2flJ� by
The forgoing ins#rum rit was ac nowledged before me
this day of G( "� 2a� by
Gary W_ 2anello
GaryW_ ZaneHo
Name of person making statement.
Name of person making statement.
Personally Known � OR Produced Identification
PersonaJJy Known � OR Produced Identification
Type of identification
Type of Identification
Produced
Produced
Danielle Bigfin
9 :� D�nie�le