HomeMy WebLinkAboutBUILDING PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/14/2020 Permit Number:
vt ry
F L 0 R I D A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
PERMIT TYPE: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential xx
Address: 13 Lake Vista Trail 107 Port St Lucie FL 34952
Property Tax ID #: 3422-500-0175-000-7
Site Plan Name:
Project Name: _
DETAILED DESCRIPTION OF WORK:
Replace 30 gallon electric water heater (like for like)
Lot No.
Block No.
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: $ 950.00 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
NameYolanda Player
Name: Gary W Zanello
Address:13 Lake Vista Trail 107
Company: Port St Lucie Plumbing
City: Port St Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 772 878-8369
Address:6907 Heritage Dr
City: Fort St Lucie State: FL
Zip Code: 34952 Fax: 772 489-9126
Phone No772 468-6524
E-Mail:
fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail portstiucieplumbing@gmaii.com
State or County LicenseCFC058025
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
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
ZiIO: 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, wails, signs, screen rooms and accessory uses to another non-residentia[ 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 [OMMFNrFMFNT_"
i
1
Cigna ur f C6n ssee ontractor as Agent for Owner
Signa__ f o or/Llcens older
ST �EOF FLORIDA
STATE OF FLORIDA
COUNTY OFSt-Luele
COUNTY OFst.r--ie
The forgoing instrument was acknowledged. before me
The for ing instru ent was acknowledged before me
this day of ll>1 20�Q by
this day of
20aQ 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
Danielle Bin
i
Danielle Bigiin
(Signature of Notary P lic- _ tso
F ,aim
•
(Signature of No60 t
'a' 26, 2023
Commission No Gc36os58 (�c�edTlwll�4alilii
ommission No. ccseossa
Notally
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/ i/ 19