HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Nov. 17, 2020 Permit Number:
, �u LU LL
L� L c a,- L L k - -- Building Permit Application
Planning and Development Services
Building and Cade Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Residential XX
Address: 22 Lake Vista Trail 102 Port St. Lucie, FL 34952
Property Tax ID #: 3422-500-0296-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace 30 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 Windows/Doors _ Pond
____ Electric 41umbing _ 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 Michel Beauchesne
Name: Gary W Zanello
Address:2645 Rue Gagnon
Company: Port St Lucie Plumbing
City: Trois-Rivieres, QC, Canada State: _
Zip Code: Fax:
Phone No.819 244-4944
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
from the Owner listed above)
E-Mail portstlucieplumbing@gmail.com
State or County LicenseCFC058025
If value of construction is 250D 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
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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•-�..f — — •- • -%rl AWN% r►rrivV I i . a+ppncailon is nerei)y 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 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 I nder or an attorne before co.mmimnring work or recording your Notice of Commencement.
4
Signat r f Ow / Lessee/Contractor as Agent for Owner 4atueo ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF -St Lucie COUNTY OFstwoie
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Physical Pres ce or I Online Notarization Q sical Pre ce or Online Notarization
this _,T day of 2020 by this / day of b 2020 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 Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Pu Wf Flo (Signature of N c- Sta ll
WIt"T'.
sConiln.W3B ,5a coil m. GG360658
Commission No. GG36965_ ?G $•�IAlugust25,Z423 Commission Nae *_' Bonded ThrU As= Notary ig , Bonded Thin Aeon Nor
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.