HomeMy WebLinkAbout17 Lake Vista Tr 103All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/2612019 Permit Number:
M6.9.
-
R R .
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
PERMITTYPE:Plumbing
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential XX
Address: 17 Lake Vista Trail 103 Port St Lucie, FL 34952
Property Tax ID #: 3422-500-0227-000-7
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 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 Mike Valentia
Name: Gary W Zanello
Address:3738 SW Kakopo St
Company. Port St Lucie Plumbing
City: Port St Lucie State: 151
Zip Code: 34953 Fax:
Phone No. 772 418-9610
Address:6907 Heritage Dr
City: Port St Lucie State: EL
Zip Code: 34952 Fax: 772 489-9126
Phone N0772 468-6524
E -Mail portstlucieplumbing@gmail.com
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County LicenseC:FC058025
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 LAVA 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."
Rev, 7
r ,
5`ign ur fCGnesse'e7ffontractor as Agent for Owner
Signat�re fo or/Llcens oiler
ST E OF FLORIDA
STATE OF FLORIDA
COUNTY OF St. LuC1e
COUNTY OF SL Lucie
The forgoing instrument was acknowledged before me
this a�J . day of 'C% , 20 %�? by
The for, ping instrument was acknowledged before me
this day of ^ �° 20 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
Dwide Biglin
% l Dwiie til ftlin
(Signature of Notary P lic- Wt F . ; (Signature of Not ' c(*a 25, 2023
i{II�W%
Commission No. GG369ssS [ROW WARD
Bcilft�{,�� ��A
ommission No. GG36(Ss96 �$ea t�7LA
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev, 7