HomeMy WebLinkAbout408 Poplar AvAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: May 06, 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: Plumbin
PROPOSED IMPROVEMENT LOCATION:
Address: 408 Poplar Av Port St Lucie FL 34952
Property Tax ID #: 3419-510-0174-000-1
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace 40 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 i Gas Tank _ Gas Piping Shutters i Windows/Doors Pond
_ Electric — Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1,000.00 Utilities: -Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Marcelina Mosher Name: Gary W Zanello
Address: 616 SE Degan Dr Company: Port St Lucie Plumbing
P Y�
City: Port St Lucie FL State: _ Address: 6907 Heritage Dr
Zip Code: 34983 Fax: City: Port St Lucie State: FL
Phone No. 772 342-3189 Zip Code: 34952 Fax:
E-Mail: Phone No 772 468-6524
Fill in fee simple Title Holder on next page (if different E-Mail portstiucieplumbing@gmail.com
from the Owner listed above) State or County License CFC058025
V, \.Qmmencemeni Is requlrea.
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 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:
Al./ / ..
Zip: Phone:
V vvlmrn/ �—uni i rViL i VK Hrrruv i 1: 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 recordi
�ng your Notice of Commencement.
Signa f Q t r/ Lessee/Contractor as Agent for Owner Signa of C ctor License Holder
STA E OF FLORIDA STATE OF FLORIDA
COUNTY OF S1Lucie COUNTY OF stLucie
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this _7 day of mAy 2020 by this 7 day of MAY 2020 by
Gary W Zanetlo CraryW Zanello
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Producer! Produced
(Signature of Notary Pub t f . grid DliliA``��� (Signature of Notary I' a
Commission No. GG360658 %, � Egft" A*d 25`
i
.�` IMAM ommission No. GG3606
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20