HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: July 10, 2020 Permit Number:
4
lr c- D '° t' - 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:Plumblilg
PROPOSED IMPROVEMENT LOCATION:
Residential xx
Address: 23 Lake Vista Trail 206 Port St Lucie, FL 34952
P ro pe rty Ta x I D #- 3422-500-0321-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
I'teplac2 30 Ga. Clec4rid wafer Aeafei- i i/,(e -for Ike
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 Windows/Doors Pond
_Electric I Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq..Ft of Construction:
Cost of Construction: $ 950.00
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Michael Famiglietti
Name: GaryW Zanello - -
Address:23 Lake Vista Trai1206
Company: Port St Lucie Plumbing
Port St Lucie FL St
City: - ate:
Zip Code: 34952 Fax:
Phone No. 772 882-2146
6907 Heritage Dr ;=
Address: 9 - -
City: Port St Lucie State: FL
Zip Code: 34952 Fax: 772 489-9126
Phone No 772 468-6524
E-Mail portstlucieplumbing@gmail.com
E-Mail:
Fill in fee simple Title Holder on next page [ if different
from the Owner listed above)
State or County LicenseCFC053025 l
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:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: _ Phone:
MORTGAGE COMPANY:
Name,. —
Address:
City:
Zip:
Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip_ Phone:
Not Applicable
State:
Not Applicable
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 inPlease consult w with your Home Owners Association and review bylaws ur deed and covenants
any restrictions which may apply. prohibit such
structure
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 paying twice for
improvements to your property: A Notice of Commencemeni must be recorded in the public records of St.
Lucie County and posted on the iobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorne before commencin work or recording our Notice of Commencement.
Sign r f O / Le ontractor as Agent for Owner Signat ontr /Lice e H der
STATE OF FLORIDA
COIF NTY OF SL Lucie
Sworn to (or affirmed) and subscribed before me of
Physical Presegpe.or Online Notarization
this ff� day of _ ..�U, �t , 2020 by
STATE OF FLORIDA
COUNTY OFstL -i-
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this � day of � IJ J 2020 by
Gary W 7anello
Gary W Zanelio
`
Name of person making statement.
Name,of personmaking statement.
Personally Known x OR Produced Identification
Type of identification
Produced
(Signature of Notary Public -
commission No. GC36065B
REVIEWS I FRONT
4 COUNTER
DATE
RECEIVED
DATE
COMPLETED
orida ) D wiae B
h
IrA
Personally Known x OR Produced Identificatlon
Type of identification
Produced
13, an_ielle tin
(Signature of Notary P _ c f FIUM.
N
commission No. GG360558
SUPERVISOR � VVW�JSEATURTL�E
MANGROVE
REVIEW y REVEW REVIEW