HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: May 20, 2020 Permit Number:
•
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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 Commercial Residential XX
PERMIT TYPE: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 7 Lake Vista Trail 102 Port St Lucie FL 34952
Property Tax ID #: 3422-500-0086-000-6
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 Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 950,00
_ Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors
Roof
Utilities: _Sewer _Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Robert Shepard
Name, Gary W Zanello
Address: 300 Clear Spring Tri Apt 203
Company: Port St Lucie Plumbing
City: Fairport NY State: _
Zip Code: 14450 Fax:
Phone No. Mrs. Costello 302 228-1433
Address:6907 Heritage Dr
City: Port St Lucie State: FL
Zip Code: 34952 Fax: 772 489-9126
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@gmail.com
State or County LicenseCFCQ58025
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
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 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 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 INSPECTIIORI. IF YOU INTEND TO OBTAIN FINANCING, CONSULT .
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
/_ laz
Signatu Own essee Con ractor as Agent for Owner
Signatu a Con or/License older
SW E OF FLORIDA
STATE OF FLORIDA
COUNTY OFstL_�
COUNTY OFstL,cie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this.20 day of may 20 ZO by
this 24 day of May 120 ZQ 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 Producedl#entification
Type of Identification
Type of Identification
Produced
Produced D nide Bk&
. � Dalnia% B'
fin - Comm. 6 GG3 658
_�, Comm. � GG36
658 �, �� '*� �: August 25,2M
(Signature of Notary lic- State , '�(1,
ture of Notary ublic-State o Florida)
Commission No. GG360668 (Seal)
Commission No. GG360658 (seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19