HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/09/2019 Permit Number:
- `J , _ '=
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 Commercial Residential xx
PERMIT TYPE: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 24 Lake Vista Trail 201 Port St Lucie FL 34952
Property Tax ID #: 3422-500-0330-000-2
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace 30 gallon electric water heater (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
Total Sq. Ft of Construction:
Cost of Construction: $ �50,00
Generator _ Roof
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
Pitch
OW N ERAESSEE:
CONTRACTOR:
Name Carolyn Shackelton
Name: Gary W Zanello
Address:24 Lake Vista Trail 201
Company: Port St Lucie Plumbing
City: Port St Lucie State:
Zip Code: 34952 Fax:
Phone No.617 875-6006
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 Portsilucieplumbing@gmaii.com
State or County License
It value of construction is 52500 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
Name:_
Address:
City:
Zip:
Phone
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip. Phone: —
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:_
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permitto 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.-
ly,
AmmAxl ��1111��'�;11'0_�":Z'111��
ign/a ur f wn essee ontractor as Agent for Owner
Signat�ir f o or/L[cens older
ST E Of FLORIDA
STATE OF FLORIDA
COUNTY OFSt.Lucle
COUNTY OFStLude
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this �� day of 20 19 by
this 9M day of. �' 20 by
Gary W. ZanaUG
Gary W. Zauello
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
Danielle Biglin
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• � DWOok Biglfn
(Signature of Notary P lic-fit F� eipt25
(Signature of Not' a�25, 2023
�a�01
Commission No. GGasosea (1
ommission No. cca6os�a Sealj
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECE(VEO
DATE
COMPLETED
Rev.2/7/19