HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: October 10, 2019 Permit Number:
Building Permit Application
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:PIumbing
PROPOSED IMPROVEMENT LOCATION:
Commercial
Address: 8064 Kiawah Trace Port St. Lucie, FL 34986
Property Tax ID #: 3327-705-0027-000-2
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace 40 gallon electric water heater located in closet (like for like)
CONSTRUCTION INFORMATION:
Residential xx
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
Total Sq. Ft of Construction: —
Cost of Construction: $ 900.00
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name William Maloney
Name: Gary W. Zanello
Address:8064 Kiawah Trace
Company: Port St Lucie Plumbing
City: Port St Lucie State: _
Zip Code: 34986 Fax:
Phone No.772 468-9001
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@gmall.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 I MORTGAGE COMPANY: Not Applicable
ir,17-3
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:_
Address:
City:
Zip:
Phone:
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOT NOTICE OF COMMENCEMENT."
as Agent for Owner
STATE OF FLORIDA
COUNTY OF St. Lucie
The forgoing instrurUent � as cknowledged before me
this _/May of _ G G20# by
Gary W. Zanello
Name of person making statement.
Personally Known xx OR Produced Identification
Type of Identification
Produced
DwMe
(Signature of Notary P Ibllc- , F �"""' vv.rvvvA
Commission NO. GG360658 4W� ,,"' WAm
der
STATE OF FLORIDA
COUNTY OFSt.Lurie
The forgo ng instrument as pcknowledged before me
this 20a by
Gary W. Zanello
Name of person making statement.
Personally Known xx OR Produced Identification
Type of Identification
Produced
v '
Danielle Bighn 12, eoi
(Signature of Not ���3
NVommission No. GG360658 Pena
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19