HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Nov. 20, 2020
Permit Number:
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:Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 9405 Scarborough Ct Port St Lucie FL 34986
Property Tax ID #i: 3322-507-0028-000-6
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace 80 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:
Residential xx
Lot No.
Block No.
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1,250.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Eugene Leach
Name. Gary W Zanello
Address:9405 Scarborough Ct
Company: Port 5t Lucie Plumbing
City: Port St Lucie FL State: _
Zip Code: 34952 Fax:
Phone No.203 809-5054
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@gmaii.com
State or County LicenseCFC058025
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:
City:
Zip: Phone:
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 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.
f
Signat r f Ow / Lessee/Contractor as Agent for Owner
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Sign atu e PfCcctorJL-ice_nse Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF&Lucle
COUNTY 0FStLuae
Sworn to for affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Pres ce or Online Notarization
%
P sical Pre ce or Online Notarization
this day of 2020 by
this day ofPIIYlP1L , 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
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(Signature of Notary Pu f Flo
(Signature of N StaqwmmqgNn
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Cofom. # MOM
Commission No. GG360651?M �lAL1§,e#25,2D23
Comm. # GG360668
Commission N• a„0
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for
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5