HomeMy WebLinkAboutpermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/18/2021
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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:
Residential xx
Address: 32 Lake Vista Trail 204 Port St Lucie, FL 34952
Property Tax ID #: 3422-500-0445-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace 30 gallon 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 ) Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 1 ,000.00
_ Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof
Utilities: —Sewer —Septic Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Martha Guyon
Name: Gary W Zanello
Address: 403 E Mumford
Company: Port St Lucie Plumbing
City: Urbana IL State: _
Zip Code: 61801 Fax:
Phone No.217 621-3605
Address: 6907 Heritage Dr
City: Port St Lucie State: FL
Zip Code: 34952 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@gmail.com
State or County License CFC058025
it value of construction is Z500 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:
City: State:
Zip: Phone
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 worts
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.
Signa f C ctor License Holder
Signa 10r/ Lessee/Contractor as Agent for Owner
STA E OF FLORIDA
COUNTY OF sti-me
STATE OF FLORIDA
COUNTY OF stLucia
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this /F, day of. MAY 2020 by
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 0�' day of MAY 2020 by
Gary W zaneuo
Gary W Zaneflo
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Personally Known x OR Produced Identification
Type of Identification
Produced
Produced
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REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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