HomeMy WebLinkAboutEl SitoAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/20/2019 Permit Number:
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 TYPE: Plumbing
Building Permit Application
Commercial Residential XX
LPRROPOSED IMPROVEMENT LOCATION:
Address: 130 SE EI Sita Court Port St. Lucie, FL 34952
Property Tax ID #: 3419-540-0320-000-3 Lot No 5
Site Plan Name: Block No. 53
Project Name:
DETAILED DESCRIPTION OF WORK:
,fie ace rax t l
4 1�' r -/-7c/"' PVC wa -Ierl�r�r e - M
CONSTRUCTION INFORMATION:
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:
Sq. Ft. of First Floor:
Cost of Construction: $ 850.00
Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name EI Sito LLC
Name: Gary W Zanello
Address: 7024 17th Av
Company: Port St Lucie Plumbing
,City. Brooklyn
State: Address:6907 Heritage Dr
Zip Code: 11204 Fax:
City: Port St Lucie State: FL
Phone No.772 380-9011
Zip Code: 34952 Fax: 772 489-9126
E -Mail:
Phone No772 468-6524
Fill in fee simple Title Holder on next page { if different E -Mail portstlucieplumbing@gmaii.com
from the Owner listed above)
State or County LicenseCFC058025
If valrra of rnnctr.v+inn is t7r-11A .. 0er1f% r 1r.
-..,,.. ,,. a A -40M : ur LurTirnencement 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
/' ,
igwn essee ontractor as Agent for Owner
Signatjire f o or/Licens older
ST=FLORIDA
STATE OF FLORIDA
COUNTY OFst-Ludo
COUNTY 0FStL.c_e
The forgoing instru,me�nt was acknowledged before me
'
The forgoing instrument wa„s acknowledged before me
this _ !'. day of /1/0 '1 f” 20_/,,�? by
this RO' day of /t6i )r 20 /tel` by
Gary W. Zanello
Gary W. Zanello
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
Dame B'n�
D� Biglin
{Signature of Notary P lic- t F R (Signature of Not ' �2 ** 25`{ �ry
Commission No. GG36osse Wwwalb Elxrtlri�
ommiss2520
ion No. GG360658 Pena
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Rev_ 21 // 19