HomeMy WebLinkAbout3, 107All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/03/2020 Permit Number:
Ir-nLr I is
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: 3 Lake Vista Trail 107 Port St Lucie FL 34952
Property Tax ID #: 3422-500-0035-0004
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:
OWNER/LESSEE:
CONTRACTOR:
Nicholas Kerigan
Name: Gary W Zanello
Address:3 Lake Vista Trail 107
Company: Port St Lucie Plumbing
City: Port St Lucie State: L
Zip Code: 34952 Fax:
Phone No. 772 343-7476
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 portstlucieplumbing@gmail.com
State or County License CFC058025
If value of construction is $2500 or more, a RECORDED F=e__�
If value of HVAC is $7,500 or more, a RECORDED P:a..,... c: C..::...:
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State.
Zip: Phone:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
BONDING COMPANY: Not Applicable
Name:
Address:
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 1 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."
' l � � /.
Zr essee ontractor as Agent for Owner
Signatf f o orJLlcens older
ST E OF FLORIDA
STATE OF FLORIDA
CO U NTY O F Sr_ euGe
COUNTY OF St. Lucie
The forg ing instru nit was acknowledged_ before me
�r !-IJ Uar
The forgoing instru e t was acknowledged before me
this . day of 20.� by
this..�l_ day of e"OPL Cr 2024 by
Gary W. 2anello
Gary W_ 7-anello
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
i,�anMe ftfin
Dania a Biglin
(Signature of Notary P lic- t F
(Signature of Not c� a 25, 2023
jam.71nealy
Commission No. GG360658 (� 1FA�lAA
ommission No. GG360658
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev_ 2/ i/ ly