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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7- 7-"7a Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462 -155,3 Fax: (772) 462-1578 PERMITTYPE:PIumbing PROPOSED IMPROVEMENT LOCATION: Commercial Residential xx Address. 6727 Dickinson Terr Port St Lucie FL 34952 Property Tax ID #: 3415-706-OG22-000-9 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: RrepCace 5U gatron electric water heater (like for like) CONSTRUCTION INFORMATION: Additional work to be performed under this permit -check all that apply: Mechanical Electric Total Sq_ Ft_of Canstructiam Gas Tank Plumbing Cost of Construction: $ 950.00 Lot No. 151 Block No. 1 Gas Piping _ Shutters _ Windows/Doors _ Sprinklers — Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: NarneJames Kurbiec Name: Gary Zanello Address:6727 Dickinson Terr Company: Port St Lucie Plumbing City: Port St Lucie State: F/ Zip Code: 34952 Fax: Phone No. 772 607-3002 Address:6907 Heritage Dr City: Port St Lucie State: FL Zip Cade: 34952 Fax: 772 489-P126 Phone No772 468-6524 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail portstlucieplumbing@gmaii.com State or County License CFC058025 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 orimore, a RECORDED Notice of Commencernent 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 TITLEHOLDER: Nat 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 - 1 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 thepermit 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 WJTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." r - r � ignqur f ic6n essee7antractor as Agent for Owner Signa_t f o for/L,cens older STAk OF FLORIDA STATE OF FLORIDA COUNTY OFst. Lucie COUNTY OFSt Lucie The forrgoing instrument -as acknowledged before me this e day of f 2090 by The forgoing instru ent was acknowledged before me this 14_ day 2flo`Z© J of 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'lrlentification Type of Identification Type of Identification Produced Produced 1 DanWe B` On Danielle Biglin {Signature of'Notary P IiC- fat F AUgW2520(Signature of Not 00 a 25, 2023 Commission No. GG -360M ftUV &5 ommission No GG3608 BM" ea j ry REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE DECEIVED DATE COMPLETED Rev. 21771y