HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: May 25, 2020 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
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PROPOSED IMPROVEMENT LOCATION:
Address: 6815 Shelley Terr. Port St Lucie, FI 34952
Property Tax ID #: 3415-705-0002-000-1
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace 50 gallon electric water heater (like for like)
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
Mechanical—GasTank _Gas Piping _Shutters
Electric /Plumbing _Sprinklers
Total Sq.,Ft of Construction:
Cost of Construction: $ 900.00
Generator
Sq. Ft. of First Floor:
Residential XX
Lot No.1
Block No. 1
Windows/Doors Pond
_ Roof 9- Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameTwo G's Holdings LLC
Name: Gary W Zanello
Address: 900 Elyse Cr
Company- Port St Lucie Plumping
City. Port St Lucie FL State: _
Zip Code: 34952 Fax:
Phone No. 772 468-6813
Address:6907 Heritage Dr
City: Port St Lucie State: FL
Zip Code: 34952 Fax: 77? 489-9126
Phone N'o772 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 LicenseCFCQ58025
If value pf Construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
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 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 INTENT} TO OBTAIN FINANCING, CONSULT .
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signator Own essee Can ractor as Agent for Owner
Sign atu Con or/License older
STA E OF FLORIDA
STATE OF FLORIDA
COUNTY O F St Lucie
CO U NTY O F St Lucie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _2 5 day of May 20 ZO by
this ;??5: day of May 24 7-0 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'tIentification
Type of identification
Type of Identification
Produced
Produced d81i18$
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(Signature of Notary lic- State � y
ure of Notary ubiic- State oFlorida )
Commission No. GG360558 (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