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HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1012012020 Permit Number: LuLL L x P L C� U.,, E Ex�ti Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential xx 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR:Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 12 Lake Vista Trail 101 Port St Lucie, FL 34952 Property Tax I D ##: 3422-500-0155-000-1 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Replace 30 gallon electric water heater (like for like) New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Block No. Additional work to be performed under this permit— check all that apply: _Mechanical Gas Tank —Gas Piping _ Shutters _ Windows/Doors Pond Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 950.00 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Ruby Blattstein Name: Gary W Zanello Address:12 Lake Vista Trail 101 Company: Port St Lucie Plumbing City: Port St Lucie FL State: _ Zip Code: 34952 Fax: Phone No-772 486-3641 Address:6907 Heritage Dr City.. Port St Lucie State: FL Zip Code: 34952 Fax: 772 489-9126 Phone N0772 468-6524 E-Mail: Fill in fee simple Title Holder on next page ( if different l from the Owner listed above) L. E-Mail portstlucieplumbing@gmail.com 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: 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. 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. sign a r f O / Le ontractor as Agent for Owner 5ignat ontr /Lice e H der STATE OF FLORIDA STATE OF FLORIDA COUNTY OFst.rude COUNTY OFS{.L- i- Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presence�or Online Notarization thisday of 2020 by Physical Prese a pr this -'0 day of Online Notarization 2020 by Gary W Zanello Gary W Zanello Name of person making statement. Name of person making statement. Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced A&"&�ek fin (Signature of Notary P = c-AlliptlElf ommission No. ccss©ssa FI ' �. ` AugW ' 2423 r p�,�,W (Signature of Notary Public- a ion a) Dent@ft ftliR Commission No. GGssosss e�! iinN.#GG360658 . -us: `, � REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 5