HomeMy WebLinkAboutBuilding Prermit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/03/2020 Permit Number:
Saw
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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:
Building Permit Application
Commercial Residential xx
Address: 10 Lake Vista Trail 207 Port St Lucie FL 34952
Property Tax ID #: 3422-500-0140-000-3
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: $ 950.00
Generator hoof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Gayle Nave
Name: Gary W Zanello
Address:(10 Lake Vista Trail 207) P O Box 340
Company: Port St Lucie Plumbing
City: Brimfield State:
Zip Code: 01010 Fax:
Phone No.617-312-1022
Address:6907 Heritage Dr
City: Port St Lucie State: FL
Zip Code: 34952 Fax: 772 489-9126
Phone N0772 468-6524
E-Mailpor tstiucieplumbing@gmail.com
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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:
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 CaUnty 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 YOU,,R NOTICE OF COMMENCEMENT.-
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ign? ur f wn essee ontractar as Agent for Owner
Signat�re f o or/ Ltcens older
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5T #: OF FLORIDA
STATE OF FLORIDA
COUNTY OFst• Lucie
COUNTY OFst. Lucie
The forgoing instrument was acknowledged before me
The forgoing instru e t was acknowledged before me
this � _day of �' l'UGi J' 2D-2� by
this4 '' day of ��PUG �► 2024 by
Cary W_ Zarsello
Gary W. Zanello
Name of person making statement.
Name of person making statement.
Personally Known � OR Produced identification
Persona!!y Known � OR ProducedIdentification
Type of identification
Type of identification
Produced
Produced
# '� Danie�e Biggl���
Bigiin
(signature of Notary P lic- # F. Qk%�� � �
(Signature of Not' �