HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June 22, 2020 Permit Number:
1. L Co E L, k
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: lumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 5423 Stately Oaks St Ft Pierce, FL 34981
Property Tax ID #: 3404-711-0006-000-4
Site Plan Name:
Project Name:
I 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 _ Gas Tank — Gas Piping _ Shutters
Electric f Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 950.00
Generator
Sq. Ft. of First Floor:
Residential XX
Lot No.
Block No.
Windows/Doors Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Wade Clarke
Name: Gary W Zanello
Address: 5423 Stately Oaks StCompany:
Port St Lucie Plumbing
City: Ft Pierce _ FL State:
Zip Code: 34981 Fax:
Phone No. 772 801-8510
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 LicenseCFC058025
if value of 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:
Address:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 OIC 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,"
Own essee Con ractor as Agent for Owner
Signatr—_
SiSignatu Con or/License older
STA E F FLORIDA
STATE OF FLORIDA
COUNTY OFsttcce
COUNTY OFstLua-
The forgoing instrument as acknowledged before me
The forgoing instrument-, as acknowledged before me
this � day of 20 Z6 by
this.,. day of ,Ltd 20 2,0by
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 Identification
Type of Identification
Type of Identification
Produced
Produced �anlde MOM
1 . Dm lei G36
Comm. I GG30658
s Co m ��a z
�s ' august 25,
(Signature of Notary lic- State , .' M1 `BonM
ture of Notary ublic- state o lorida )
Commission No. GG360658 (Seal)
Commission No. GG360658 - L$eall
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 217119