HomeMy WebLinkAboutBuilding Permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/13/2019
s
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE:Plumbing
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential xx
Address: 9248 Short Chip Cr. Port St. Lucie, FL 34986
Property Tax ID #: 3334-501-0220-000-1
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORD:
Replace 50 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
Total Sq. Ft of Construction:
Plumbing _ Sprinklers
Cost of Construction: $ 950.00
Generator
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
Lot No.
Block No.
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Ronald Raposa
Name: Gary Zanello
Address:239 Union St.
Company: Port St Lucie Plumbing
City: Portsmouth State:
Zip Code: 02871 Fax:
Phone No.401 225-0702
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
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City_ State:
City: State:
Zip: Phone
Zip: Prone:
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 l 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
WffHYOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT,-
Rev. 7
A �
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ign� ur f wn essee ontractor as Agent for Owner
Signat�ire , f o or/i_Icens older
ST E OF FLORIDA
STATE OF FLORIDA
COUNTY O F st. Lucie
COUNTY OFSt. Lucie
The forgoing instrument as cknowiedged before me
this � day of � P r�i� 20A by
The forgoing instrument was acknowledged before me
this � day ofmil' 2fl� by
y W. ZaneE.b
Garuu
Gary W. Zanello
Name of person making statement.
Name of person making statement.
Personally Krtowrr � OR Produced identification
Personally Known � OR Produced Identification
Type of Identification
Type of identification
Produced
Produced
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�, � � Dale Bigiin
(Signature of Notary P lic-,'�'_t[Signature
of Not �a��, ��
Commission NO_ GG369656
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEdVI;D
DATE
COMPLETED