HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: August 9, 2021
Permit Number:
,- Luc m-
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) 462-1S78
Commercial Residential XX
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 9401 Avenel Ln Port St Lucie, FL 34986
Property Tax ID #: 3322-502-0019-000-5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace 50 gallon electric (warranty) water heater (like for like)
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
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: $ 900.00 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Norma Bullis
Name: GaryZanello
Address: 9401 Avenel Ln
Company:Port St Lucie Plumbing
City, Port St Lucie FL State:
Address: 6907 Heritage Dr
_
Zip Code- 34986 Fax:
City. Port St Lucie State: FL
Phone No.941 213-3515
Zip Code: 34952 Fax:
E-Mail:
Phone No 772 468-6524
Fill in fee simple Title Holder on next page ( if different
E-Mail portstfucieplumbing@gmail.com
from the Owner listed above)
State or County License CFC058025
_.__ _. __..__.__........ �............�, a nLOL %.0 Uwmmencement 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
Address: Name:
City: State: Address: Zip: Phone City: State:
Zip:. Phone.
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Name: Not Applicable
Address: Name:
City: Address:
Zip: City:
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 wit! 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 inRnPrtion if,�n,� ;.,� �_ -I-- . �L_ ,_
wiM ienaer or an attorne before commencingwork or reeordin oPff ur Notice�of Commencemecnt. consult
s�
Signat e f Ow Lessee/Contractor as Agent for Owner Signatur Wont�r®r/Ui�cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCiE
COUNTY OF STLUCIE
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Physical Prese a or Online Notarization
��Physical Prese a or_ Online Notarization
this `F day of L� 2024 by this f day of 2021 b
y
GARY W ZANELLO GARY W ZANELLO
Name of person making statement. Name of person making statement.
Personally Known " OR Produced Identification Personally Known xx OR Produced Identification
Type of Identification Type of Identification
Produced Produced
{Signature of Notary Public- State of F ure of Notary Pu FIoOMM.110G 658
COiIIIN,8G 3 x �►
Commission No. GG36CI658 /�/�/�� 25, LVrGJ
.` EON. ,LV� on No. GG9sosss ` aI81
Banded - Notary �"„ �� AUO" Nobly
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5