HomeMy WebLinkAbout24-101All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/18/2020
COUNT]
F i n R t r
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:
Permit Number:
Building Permit Application
Commercial
Address: 24 Lake Vista Trail 101 Port St Lucie FI 34952
Property Tax ID #: 3422-500-0323-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace 30 gallon electric water heater (like for like)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank — Gas Piping — Shutters
Electric
Total Sq. Ft of Construction:
Plumbing _ Sprinklers
Cost of Construction: $ 950.00
Generator
Sq. Ft. of First Floor:
Residential xx
Utilities: —Sewer _Septic
Lot No.
Block No.
_ Windows/Doors
Roof
Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Camille Maglio
Address 184 Pitman Downer Rd
Name: Gary W Zanello
Company: Pork St Lucie Plumbing
City: Sewell State: _
Zip Code: 08080 Fax:
Phone No.215 906-1923
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 portstiucieplumbing@gmail.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 j MORTGAGE COMPANY: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip. Phone:
Name:_
Address:
City:
Zip:
Phone:
State:
BONDING COMPANY: Not Applicable
Na rne:_
Address:
City:_
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that no work or installation has commenced prior to the issuance of a permit_
St. Lucie Countyy 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, 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."
gn ; ur f OWn ss6e7antractor as Agent for Owner
Signat�ire f o orJLicens older
ST E OF FLORIDA
STATE OF FLORIDA
COUNTY OFSt.LLLGe
COUNTY 0F-St L.d.
The for .going instrument wasEacknowledged. before me
this day of d �'C�20o2Q by
The forproing instrument was acknowledged before me
this _day of jr� �. 20V by
Gay W_ Zanello
Gary w_ zanelio
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
1 �
� Dalnie�e Big�il�
- 'i� DalMek Bigiin
(Signature of Notary P lic- fiat F � �
c4m'_•
(Signature of Not � 25, 2023
ley,
Commission No. GG354658 �� ��j�{�/�ill�,
ommission No. GG360658Pena AYL
�AM
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2177 19