HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/29/2020 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
PERMIT APPLICATION FOR:Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 5610 Oleander Av Ft Pierce, FL 34982
Property Tax ID #: 3403-502-0294-000-4
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Install 2 sinks with water and drain lines in Middle School classroom
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters T Windows/Doors Pond
Electric / Plumbing _ Sprinklers — Generator _ Roof Pitch
Total Sq.,Ft of Construction:
Cost of Construction: $ 1,600.00
Sq. Ft. of First Floor -
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Sun Grove Montessori School
Name: Gary Zanello _
Address:5610 Oleander Av
Company: Port St Lucie Plumbing -
City: Ft. Fierce FL State: _
Zip Code: 34982 Fax:
Phone No. 772 464-5436
Address:6907 Heritage Dr - -
City: Port St Lucie 4 =State: FL
Zip Code: 34952 Fax: 772 489-9126
Phone No772 468-6524
E-Mail portstlucieplumbing@gmail.com
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
T
State or County License CFC058025
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:
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 INSPECTIORL IF YOU INTEND TO OBTAIN FINANCING, CONSULT,
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signatur Own essee,Conitractor as Agent for Owner
-
Signatu e Con or/License older
STA E OF FLORIDA
STATE OF FLORIDA
COUNTY OF St Lucie
COUNTY OFML.d
The forgoing instrument as acknowledged before me
this � day of 20 Z6 by
The forgoing instrumen as acknowledged before me
this •� day of 20 20by
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*entification
Type of identification
Type of Identification
Produced _
►�, U;oIInReNe B,
COMM.�G '36
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Produced ' Dale B In
6 '��jY,
�� s Comm. GG3 858
August 25,
MW
(Signature of Notary lic- State , 'F t
nNWnture of Notary ublic- State o Florida )
Commission No. G0360658 (Seal)
I Commission No. GG360658 - Seal}
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19