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Building Permit
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 02/26/2020 Permit Number: COUNTY F L. o It c V A Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 27 Lake Vista Trail 204 Property Tax ID #: 3422-500-0375-000-9 Site Plan Name: Project Name: _ DETAILED DESCRIPTION OF WORK: Commercial Residential xx Run hot and cold water lines overhead to utility room and connect existing PVC drain j CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters __.. Electric Plumbing — Sprinklers _ Generator Total Sq. Ft of Construction: Cost of Construction: $ 1,450.000 Sq. Ft. of First Floor: Lot No. Block No. _ Windows/Doors Roof Pitch Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Patricia Diaz Name: Gary W Zanello Address:27 Lake Vista Trai1204 Company:Port St Lucie Plumbing City: port St Lucie State: Jam- Zip Code: 34952 Fax: Phone No. 772 418-3631 Mrs. Cabrera Address:6907 Heritage Dr 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 portstiucieplumbing@gmail.com State or County License 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: I DESIGNER/ENGINEER: _ Not Applicable - Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name:_ Address: City: _ Zip: Phone: State: BONDING COMPANY: Not Applicable Name:_ Address: City: 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 l 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-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 WJTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDJNG YOUR NOTICE OF COMMENCEMENT." 1 � , Cigna ur f OWn essee ontractor as Agent for Owner i Signatre f o o'rjnccnsKfiolder ST E OF FLORIDA STATE OF FLORIDA COUNTY OFst-Lucie COUNTY OFSLLude The forgoing instru t was acknowledged before me The forgoing instru e t was acknowledged before me this.dayof K.�3�&UGl_2©.20 by this. day of �.�t_UL:Gr _ 202,0 by Gary W_ Zenello Gary W_ Zanello Name of person making statement. Name of person making statement_ Personally Known xx OR Produced Identification Personally Known xc OR Produced"I'dentification Type of Identification Type of Identification Produced Produced DenWe Blgri Daniee Sigiin &I Aga (Si20ngnature of Not �r _W91110 25, 2023 {Signature of Notary P fic- t F : e Commission No. GG360656 {IVuAmo ommission No. GG3150658 ea�= NoW ry REVIEWS FRONT ZONING SUPERVISOR PLAINS VEGETATION SEATURTI_E MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19