HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: February 21,2017 Permit Number:
RECEIVE®
IN
Building Permit Application FEB 2 2 2017
Planning and Development Services PERI-HITTING
Building and Code Regulation Division 5r. Lucie Counly, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 7 Lake Vista Trail 206
Legal Description: Vista St. Lucie Bldg 6 Unit 206
Property Tax ID#: 3422-500-0097-000-6 Lot No.
Site Plan Name: Block No.
- Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install drain and valves in closet for washer
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
FlElectric 0 Plumbing Sprinklers El Generator E] Roof Roof pitch
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 500.00 Utilities:In Sewer n Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Arvid Krumm Name: Gary W.Zanello
Address:7 Lake Vista Trail 206 Company: Port St Lucie Plumbing
City: Port St Lucie State:FL Address: 6907 Heritage Dr
Zip Code: 34952 Fax: City: Port St Lucie State:FL
Phone No.973 534-8291 Zip Code: 34952 Fax: 772 489-9126
E-Mail: Phone No. 772 468-6524
Fill in fee simple Title Holder on next page(if different E-Mail: portstlucieplumbing@gmaii.com
from the Owner listed above) State or County License: CFC058025
If value of construction is$2500 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:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencingcorni'mencing work or recording our Notice of Commencement.
Aa�_V//lv/ s
'Sig-nalyl of er/Lessee/Contractor as Agent for Owner Signa r Con or/License Kolder
S TE OF FLORIDA STATE OF FLORIDA
COUNTY OF sc Lucie COUNTY OFi
The forgoing instrunt was acknowledged before me The forgoing instrunt was acknowledged before me
this m m day of 6&D ry 20 L7-by this a 1 day of Feru Q ry ,20 17 by
Gary W.Zanello i Gary W.Zanello
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-Stao of Florida) (Signature of Notary Public-Statedilf Florida)
Personally Known X OR P� "4 ,0entificattnielle BiAIiD Personally Known x OR P,5��q � lentificatft n
Type of Identification Produced': IzioN #isot Type of Identification Produce 'yams
EXPIRES:August 25,2019 EXPIRES:August 25.2019
Commission No. FF901099 %.; sem•�``�16eal)a M AARONNOTARY.CO Commission No. FF901099 '; R F Se .pMONNOTARy.COM
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Revised 07/15/2014
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