HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO ML
Date: August2l.2014
Planning and Development
Building and Code Regulad
2300 Virginia Avenue, Fort
Phone: (772) 462-1553
BE COMPLET D FOR APPLICATION TO BE ACCEPTED o ,
Vay
SCANNED Permit Number:
By
St• Lucie County
Building Permit Application
Division
-rce FL 34982
x: (772) 462-1578 Commercial Residential X
PERMIT APPLICATIO
FOR: Plumbing
PROPOSED IMPROVE
ENT LOCATION:
Address: 18 Lake Vista Ti
Legal Description: VISTA
E106
LUCIE BLDG 18 UNIT 106
Property Tax ID #: �342Z-5t1 u144-uuu -;d Lot No.
Site Plan Name: Block No.
Project dame:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTI N OF WORK:
Replace 30 gallon wator heater and 314" ball valve, like to like
CONSTRUCTION INFO MATION:
Iona wor to a rme under tispermit—checka n
appy:
❑HVAC C G sTank ❑Gas Piping _Shutters ❑Windows/Doors
❑ Electric 0 PI mbing []Sprinklers E Generator ❑ Roof
Total Sq. Ft of Construction S Ft. of First Floor:
Cost of Construction: $ 675100 UtilitiesSewer ❑ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Edna Gutierrez (Tr)
Name: GaryW_Zanello
#106
Address: 18 Lake Vista Trail
Company: Port St. Lucie Plumbing
City: Port St. Lucie
Address: 6907 Heritage Dr.
State:FI
Zip Code: 34952
Fax:
City: Port St Lucie State: FI
Phone No. 772 631-5724
Zip Code: 34952 Fax: 772 489-9126
E-Mail:
Phone No. 772 468-6524
on next page ( if different
Fill in fee simple Title Holder
E-Mail: portstlucieplumbing@gmail.com
from the Owner listed abc
ve)
State or County License: CPCO58025
If value of construction is Sspo or more, a KELVKoeu Nonce or wmmencemenc is regwrea.
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SUPPLEMENTAL CONSTRUCTION
LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
Address:
City:
Zip: Phone
_ Not Applicable
BONDING COMPANY: ,Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or instal ation has commenced prior to the issuance of a permit.
St. LucieCount�yy makes no rep'esentation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlictwith any applicable Home OwnersAssoclatlon rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with four 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 approv d plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit pplications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimmi pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Y ur failure to Record a Notice of Commencement may result in your paying twice for
improvements to your pr perty. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspectio . If you intend to obtain financing, consult with lender or an attorney before
commencing work or rec rcling your Notice of Commencement.
------- --- . ... .... __ ____J
Signature of Owner/Agent/ Lissee Signature of CofraqWLicense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF sc u,aa
The forgoing instrument was cknowledged before me The forgoing instrument was acknowledged before me
this,, day of 1 20 14 by this 21st day of Aug- 2014 by
-` Gary W. 2 mdlo
(Name of person acknowledge g) (Name of person acknowledging )
f~--' J�_&
{Signature of Notary Public- S1 ate of Florida) (Signature of Notary Public- 51
e of Florida )
Personally Known OF Produced Identification Personally Known x OR Produced Identification
Type of Identification Produce I Type of Identification Produced
"a""" - j Ile Bi lin
Commission No. (Seal) Commission No. EE107315 ���}?:-P42N s g '
=:; Go°GSA"UoSfON�E107315
'• ficEXP,RES: AOG.25,2015
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Revised 67/1512014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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