HomeMy WebLinkAboutBuilding Permit Application May 13 20 01:21 p Port St.Lucie PlumbingH 772 489-9126 p.2
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05104/2020 Permit Number , "
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!75 F
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MAY 13 2020
Building Permit Appll atign
Planning and Development Services
Building and Code Regulation Aivrsion L' �'I I C l�' ��,r?l r?L yi ---�-
,2300 Virginia Avenue,Fort Pierce FL 34982 y
Phone:(772)462-1553 Fax: (772)452-1578 Commercial Residential xx
PERMITTYPE:PIumbing
PROPOSED*IMPROVEMENT.LOCATION
Address: 406 Poplar Ave Port St Lucie, FL 34952
Property Tax ID#: 3419-510-0175-000-8 Lot No.10
Site Plan Name: Block No. 16
Project Name:
DETAILED DESCRIPTION OF WORK;
Install 40 Gallon Liberty tank and sump pump in ground for kitchen.Run 80 ft.of 2"PVC pipe from sump
pump tank to septic tank to right side of house.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical 'fGas Tank _Gas Piping _Shutters Windows/Doors
___.Electric r Plumbing —Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 2.400.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJennie White Name:Gary W Zanello
Address:305 NW Concord Dr Company:Port St Lucie Plumbing
City: Port St Lucie State: Address:6907 Heritage Dr
Zip Code: 34983 Fax: City: Port St Lucie State:FL
Phone N0.772 224-9279 Zip Code. 34952Fax 772 489-9126
E-Mail: Phone N0772 468-6524
Fill in fee simple Title Holder on next page(if different E-Mail portstlucieplumbing@gmail.com
from the Owner listed above) State or County LicenseCFC05BO25
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.
May 13 20 01:21 p Port St.Lucie PlumbingH 772 489-9126 p.3
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 permitto 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 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
POSTEU CM THE JOB•51TE BEFORE THE FIRST INSPECFIONL IF YOU INTEND TO OBTAIN FINANCING, CONSULT .
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
i
Sign=OF
wn essee Con natu ctor as Agent for Owner SigCan or/License older
STALORIDA STATE OF FLORIDA
COUNTY OFsI L-�- COUNTY OF s<Luie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this S day of May 20 Zb by this -5 day of May 20 2-10 by
GW W Zanello Garyw Zanell*
Name of person making statement. Name of person making statement.
Personally Known roc OR Produced Identification Personally Known xx OR Produced Identification
Type of Identification Type of Identification
Produced Danielle B, �,Produced DafkNe Bgi�gptkl
Comm.;MGG36 656 ,�= Comm.0GG31656
;r :August 25,
Enim:AD"
(Signature of Notary lic-State ture of Notary ublic-State o lorida)
Commission No. GG36CGSB '(Seal) Commission No. GG3e0e5e (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.211119