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BUILDING PERMIT APPLICATION
Dec 021410:04a Port St. Lucie Plumbing 772 489-9126 p.1 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: December 02, 2014 SCANNED Permit Number..1=093 BY , St. Luce County .ram O C.,�y�r, ,`.., ;'r .• -. Building Permit Application ©� Plonning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772)462-t578 Commercial Residential X PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 9660 Landings Dr. Port St. Lucie Legal Description: Fairway Landings Parcel 10 Lot 14 Property Tax ID #: 3322-500-0036-000-4 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back; Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Install A.O. Smith electric gallon water heater (Like to Like) 10 11on CONSTRUCTION INFORMATION: itiona wor o e e orme under tispermit—checka appil 11HVAC LJGasTank ❑Gas Piping _Shutters ❑ 11 Electric 0 Plumbing ❑Sprinklers ❑ Generator ❑ F indows/Doors oaf Tota I Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 750.00 Utilities:12 Sewer Septic eu Iding Height: OWNER/LESSEE: CONTRACTOR: Name Arthur and Joyce Devries Name: Gary W.Zanello Company: Port St. Lucie Plumb Address: 6907 Heritage Dr. Address: 9650 Landings Dr. ng City: Port St. Lucie State:F1 State: FI Zip Code: 349B6 Fax: City: Port St. Lucie Zip Code: 34952Fax: Phone No. 772 461-0382 772 489-9126 E-Mail: Phone No. 772 468-6524 E-Mail: portstiucieplurnbing@gnail.com Fill in fee simple Title Holder on next page (if different i8026 from the Owner listed above) State or County License: CFCO If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Dec 02 1410:04a Port St. Lucie Plumbing 772 489-9126 p.2 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY. Name: Address: City: Zip: Phone: _ Not Applicable Address: _ City: State: _ Zip: Phone: State: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: Name: Address: City: _Not Applicable _ Address: City: Zip: Phone: Zip: Phone: 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 which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that structure. Please consult with your Home Owners Association and review your deed for any restriction In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, 1 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: roo accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to anothl WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in improvements to your property. A Notice of Commencement must be recorded and before the first inspection. If you intend to obtain financing, consult with lender or at commencing work or recording vour Notice of Commencement. Signature wner/ nt/ Lessee STATE OF FLORIDA COUNTY OF s The forgoing instr ment wa acknowledged before me this e>7 Nddayof tftcem0er 20 14 by RAI Signature STATE OF FLORIDA COUNTY OF suaea The forgoing instrument was this as day of �n r Gary N. Zonella Ivary w•'. cannle (Name of person acknowledging I {Name of person acknowledging) &' (Signature of Notary Public- r of Florida) (Signature of Notary Public -St Personally Known x OR Produced Identification Personally Known x OR Type of Identification Produced Type of Identification Produces +o� Danielle Biglin a EE107315 •J� Commission No. _ �I %ii@,>I,I�,SlONdEE107315 Commission No. EE107315 i- ae. zFX?iRE:: AUG. 25,2015 Revised 07/15/2014 e subject structure trict or prohibit such may apply. the work 1 additions, non-residential use )ur paying twice for osted on the jobsite attorney before !dged before me 20__1g by Identification lIle Biglin ASEE107315 AUG.25,2015 REVIEWS FRONT ZONING SUPERVISOR PLANS - VEGETATION SE A TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS