HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/04/2021 Permit Number:
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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: 29 Lake Vista Trail 101 Port St Lucie, FL 34952
Residential xx
Property Tax ID #: 3422-500-0393-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
I DETAILED DESCRIPTION OF WORK: k
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
Electric V/ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 950.00
Generator
Sq. Ft. of First Floor-,
Windows/Doors ` Pond
_ Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Steven Oostdyk
Name. Gary W Zanello
Address:29 Lake Vista Trail 101
Company: Port St Lucie Plumbing
City: Port St Lucie FL State: _
Zip Code: 34952 Fax:
Phone No. 772 577-9322
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-Mailportstiucieplumbing@gmaii.com
State or County LicenseCFC068025
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.
EMENTAL CONSTRUCTION LIEN LAW INFORMATION:
ER/ENGINEER:
F
_ Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Address:
s:
State:
City:
State:
City:
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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OWNER/ CONTRACTOR AFFIDVIIT: Application is nereny mace Eo ODW11l d Nel IIIIt « UM WV! N a u •,u••u�•- -___.
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 our Notice of Commencement.
Sign u of i r/ Lessee/Contractor as Agent for Owner
AgaytrWacto�r/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF sr. Luck
COUNTY OF sT. LUCIE
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
�
Physical Presen a or Online Notarization
this �L day of 2021 by
This- `r day of �rAA 202t 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
• s
Produced
(Signature of Notary Publi o rideimm. #GG3
(Signature of Nota �i� 25,210
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Commission No. GG360658 r
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ommission No. GG3606 i7171 �
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REVIEWS FRONT ZONING SUPERVISOR
PLANS TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEWREVIEW REVIEW
DATE
EVEGETATIONSEA
RECEIVED
DATE
COMPLETED
Rev.