HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June 9, 2021
Permit Number:
91ro
o
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax. (772) 462-1578
Commercial
PERMIT APPLICATION FORplumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 10 Lake Vista Trail 203 Port St Lucie FL 34952
Property Tax ID #: 3422-500-0136-000-2
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace tub and single handle shower valve in master bathroom. (Like for Like)
Residential xx
Lot No.
Block No.
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 _ Windows/Boors Pond
Electric _ Plumbing _ Sprinklers
_ Generator Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 1,200.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Douglas Austin
Name: Gary W Zanello
Address:10 Lake Vista Trail 203
Company: Port St Lucie Plumbing
City: Port St Lucie FL State:
Address: 6907 Heritage Dr
_
Zip Code: 34952 Fax:
City: Port St Lucie FL
State:
Phone No. 772 971-2325
Zip Code: 34952 Fax:
E-Mail:
Phone No 772 468-6524
Fill in fee simple Title Holder on next page ( if different
E-Mail portstlucieplumbing@gmaii.com
from the Owner listed above)
State or County License CFC058025
If value of construction is 2%nn nr mnre a RFrnQnrn ru o.,...,s r ..- .-
- ---- -- ----•-,
If value of HAVC is $7,50.0 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:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRArTnR ,&pPirnnT• A
- — M,,,,...,« 1 13 I ICI VMY I I IdUC w uutam 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 recording our Notice of Commencement.
Signa fVo�lssee/Contractor as Agent for Owner Signa of C ctor License Holder
STA E OF FLORIDA STATE OF FLORIDA
COUNTY OF StLuole 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 Presence or Online Notarization
this --L day of _ �%� _Q 2020 by this day ofUj � 2020 by
Gary W Zanello GaryW 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
Produced Produced
{Signature of Notary Pub ,,, t f *_ id OMM- 03595511 Ae��,� [Signature of N!GG3V601;%"
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Commission No. GG360658 ~��� a� iIlUI7U1 ►Ff�1Aw iwiw ommission Na�wwY4 ►FtiLlllVV1l1l INIQi�
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.