HomeMy WebLinkAboutBUILDING PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/09/2021
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 FORplumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 4 Lake Vista Trail 202 Port St Lucie FL 34952
Property Tax ID #: 3422-500-0051-000-2
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:
Additional work to be performed under this permit —check all that apply:
—Mechanical
Electric
_ Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 950.00
Residential X
Lot No.
Block No.
Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameAna Camara
Name:Gary Zanello
Address:4 Lake Vista Trail 202
Company: Port St Lucie Plumbing
City: port St Lucie FL State: _
Zip Code: 34952 Fax:
Phone No.732-470-5793
Address:6907 Heritage Dr
City: Port St Lucie State: FL
Zip Code: 349552 Fax-
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 a@gmall_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.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: i
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: T Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:.
Not Applicable
State:
BONDING COMPANY: _Not Applicable
Name:_
Address:
City._
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 degd 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.
SiRnatbcd6f
STATE OF FLORIDA
COUNTY OF sr. LUCIE
ctor as Agent for Owner
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this . _ day of 202t by
GARY W.ZANELLO
Name of person making statement.
Personally Known xx OR Produced Identification
Type of Identification
Produced
(Signature of Notary Publi ?28 o ridgimly,#GG36 58
= COmm15S10n No. GG364658 25,202
:Wr W T4RJ Aaron Kota
Sig ntracidr-Aicense Holder
STATE OF FLORIDA
COUNTY OF ST.LUCIE
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this . �K day of AWrA _ , 2021 by
GARY W. ZANELLO
Name of person making statement.
Personally Known xx OR Produced Identification
Type of Identification
Produced
A_ ilk / Danleb BbUn
(Signature of Nota V
�i25.2023,Commission No. GG3sos +R"
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