HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/16/2021 Permit Number:
91'o LUCE
O
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: 114 NE Naranja Ave, Port St Lucie FL, 34983
Property Tax ID #: 3419-530-0247-000-6
Site Plan Name:
Project Name:
Residential X
Lot No._
Block No.
I DETAILED DESCRIPTION OF WORK: I
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 _ 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: $ 1000.00 Utilities: _ Sewer — Septic Building Height:
OMEN ERAESSEE:
CONTRACTOR:
Name William LoBrutto
Name: GaryZanello
Address:114 NE Naranja Ave
Company: Port St Lucie Plumbing
City: Port St Lucie FL state: _
Zip Code: 34983 Fax:
Phone No. 772-878-4422
Address:6709 Heritage Dr
City: Port St Lucie State: FL
Zip Code: 34952 Fax:
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@gmail.com
State or County LicenseCFC058026
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.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.
IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Must bg signed by owner/Agent and applicant:
(8ignatur�cdntract�' 1
State of Florida, County of S! C !
Affirmed to and subscribed before me this VU
�h 20 Z / , by CA?rV W Zdl rte //O
personally known to me or wh6 has produced
as identification.
Notary Signature:
Notary (print name) !i e lle
(Signature of Owner or Agent (including contractor))
State of Florida, County of
Affirmed to and subscribed before me this
20 , by
personally known to me or who has produced
si r, # GG361
k; (-.4-tos: August 25
$o i-ided Thru Ann
Notary (print name)
Construction documents must accompany this application. The Florida energy code submitted becomes an integral part of this
plan and must pass final inspection. "Notice: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public record of this county, and there may be additional permits required
from other governmental entities such as waste management district, state agencies, or federal agencies. "SIGNATURE OF THE
APPLICANT MUST BE NOTARIZED. If owner builder, applicant must sign in person. BUILDING PERMIT includes:
Building, Electrical, Plumbing, Mechanical, and Sewer only. All other trades require separate applications.
Asbestos compliance: It is the owner's or operator's responsibility to comply with section 469.003, Florida Statutes, and
to notify the Department of Environmental Protection of his or her intentions to remove asbestos, when applicable, in
accordance with state and federal law.
FEE SIMPLE TITLEHOLDER, BONDING COMPANY AND MORTGAGE LENDER INFORMATION IS REQUIRED WHEN
THE AGGREGATE VALUE (TOTAL COST OF ALL IMPROVEMENTS AND NOT JUST WORK AUTHORIZED BY THE
INDIVIDUAL PERMIT) IS $2500 OR MORE (EXCEPT HVAC REPAIR/REPLACEMENT< $7500). PLEASE ADDRESS ALL
ITEMS.
Fee Simple Titleholder's
Name (if other than owner):
Address:
City:
Mortgage Lender's
Name:
Address:
City:
❑ Same as Owner
State: Zip:
❑ Not Applicable
State: Zip:
Bonding Company
Name:
Address.•
City:
❑ Not Applicable
State: Zip:
OFFICE USE ONLY
Is the property located in a Special Flood Hazard Area (floodplain) per the current Flood Insurance Rate Map (FIRM)
❑ Yes ❑ No
Flood Zone: Reviewed by: Determination:
Permit Fee $
State Surcharge
Subcontractor
Total Amount Due at Issuance
Remarks
Other $
Other $
Flood Review Fee $
Plan Review Fee
Routing Fee
Other
Active Code Violation ❑ Yes ❑ No
Case 4
Case Type
Reviewed by Date Final Check Date
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