HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/0512021 Permit Number:
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`{ 0. . 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: 207 Southland Dr Apt 4, Ft. Pierce, FL 34950
Property Tax ID #: 2427-801-0107-000-6
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:
Residential xx
Lot No.
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:
OWNERAESSEE:
CONTRACTOR:
NameSamanna Properties LLC
Name: Gary W Zanello
Address:29 Old Dock Rd
Company: Port St Lucie Plumbing
City: Yaphank NY State: _
Zip Code: 11980 Fax:
Phone No.205 467-4467
Address:(3907 He Dr
City: Port St Lucie State: FL
Zip Code: 34952 Fax: 772 489-9126
Phone No772 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 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
MORTGAGE COMPANY: Not Applicabfe
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: — Nat Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ rONTRarTt1R ❑GClrnIrr. A --I.--
- --- -- • --- • •• - •-- - • • • ^Vvlamvll 1� [JUI euy rnaae to oozain a permit to clothe 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 our Notice of Commencement.
n
Sign2 u�f r/ LesseeJContractor as Agent for Owner
Sig ntractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST. LUCIE
COUNTY OF ST. LUCIE
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me
Physical Presence or Online Notarization
this ,5 day of �,� mart/ 2021 by
of
Physical Presence or Online Notarization
this day
J
-5 of 262J by
GARY W_ ZANELLO
GARY W. ZANELLO
Name of person making statement.
Name of person making statement.
Personally Known xx OR Produced Identification
Type of Identification
Personally Known xx OR Produced Identification
Produced
Type of Identification
Produced
° Dergeb on
(Signature of Notary Publitorid86mm. #GG3 g
(Signature of Nota - i� 2�I23•AII�
Wi5,32GG360S56
Commission No. rnlU
ommisslon No. GG3606 T" Nakill
M ft
/�Uii11 #�Sa[A
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
PLANS VEGETATION SEA TURTLE MANGROVE
DATE
REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
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