HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01 /09/2020
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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:
Address: 24 Lake Vista Trail 102
Property Tax ID #: 3422-500-0324-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Permit Number:
Building Permit Application
Replace 30 gallon electric water heater (like for like)
�+tI►1i��l•Y�•L1 Q• :11 T •
Commercial 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 _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ q'M °O Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameSandra Miller
Name: Gary W Zanello
Address:442 S Naranja Ave
Company: Port St Lucie Plumbing
City: Port St Lucie State: FL
Zip Code: 34952 Fax:
Phone No.772 878-6632
Address:6907 Heritage ❑r
City: Port St Lucie State: FL
Zip Code: 34952 Fax: 772 489-9126
Phone No 772 468-6524
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above),
E-Mail portstlucieplumbing@gmaii.com
State or County License CFC058025
It value of construction is �;Z500 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.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City. State. City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:_
Address:
City:
Zip:
BONDING COMPANY: Not Applicable
Name:
Address:
I City:
Phone: I 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,
accessary 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 YOUQ NOTICE OF COMMENCEMENT."
ign ur f wn essee ontractor as Agent for Owner
Signature . f o or/Llcens older
f
Sl E OF FLORIDA
STATE OF FLORIDA
COUNTY OFsLLucie
COUNTY OFst.Lucie
The forgoing instrument was acknowledged_ before me
this Q. day of UJt 20* by
The forgoing instru ent was acknowledged before me
this day f
..
of —
20aQ by
Gary W. Zanelln
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
e Denials Biglin
4
%
Daniek Biglin
(Signature of Notary P lic- t F
Aupd F
(Signature of Not
a 25, 2023
Commission No. GG360658 ( �
ommission No. GG360668
ft"1401y
PSenal) --
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 277719