HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO fMU j BE gOMPLEiED FOR APPLICATION TO BE ACCEPTED � /� 2 9A
Date: ��to / Permit Number: ((���J
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Building Permit Application
Planning and Development5'rvices
Building and Code Regulotio Division
2300 Virginia Avenue,Fort P rce FL 34982
Phone:(772)462-1553 F ax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVE ENT LOCATION:
Address: 31 Lake Vista Trail 205
Legal Description: Building 1, Unit 205
Property Tax ID#: 3422-50 0432-COD-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIC N OF WORK:
Replace 30gallon wate heater(Like to Like)
CONSTRUCTION INFOMATION:
'w
itiona or to e e rme under this permit—check a appy:
HVAC ffG s Tank []Gas Piping Shutters a Windows/Doors
Electric WIN robing Sprinklers [Generator Roof
Total Sq.Ft of Construction: 5 . Ft.of First Floor:
Cost of Construction:$ 750 0 Utilities:L_!Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name William Bozak Name: Gary W.Zanello
Address:31 Lake Vista Trail 05 Company: Port St. Lucie Plumbing,Inc.
City: Port St.Lucie State:F1 Address: 6907 Heritage Dr.
Zip Code: 34952 Fax: City. Port st Lucie State:FI
Phone No.772 353-5712 Zip Code: 34952 Fax: 772 489-9126
E-Mail: Phone No. 772468-6524
Fill in fee simple Title Holder on next page(if different E-Mail: portsducieplumbing@gmail.com
from the Owner listed abo e) State or County License: CFC058025
Ifvalue of construction is$25110 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name, Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDE : Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone:j Zip: Phone:
I certify that no work or instal tion has commenced prior to the issuance of a permit.
St.Lucie County makes no repiesentation that is granting a permitwill authorizethe permit holderto build the subject structure.
which is in conflict with any ap licable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with our Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the grantin 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 pplications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimmin pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Yi wr 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 inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or reclrding your Notice of Commencement.
_Sign ure of ner/Lessee gent Signa r o for/Lic !;bHolder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sr_Luce ! COUNTY OF sc Lucie
i
The forgoing instrument was Acknowledged before me The forgoing instrument was acknowledged before me
this oday of 117V 20 l-5 by this 2"h day of "ay 20 _by
Gary W.Zanello 1 Gary W.Zanek
(Name of person acknowledgi g} (Name of person acknowledging)
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(Signature of Notary Public- to of Florida} (Signature of Notary Public-Vie of Florida)
Personally Known x OR Prod� �ed Identification Personally Known x OR Prgd ', � er®�t¢pafl� Bielin
Type of Identification Produce aixy, p4%, Danielle i8 glin Type of Identification Produced a F - :SSIONuEE107315
COMM SSION#EEL07315 s4r.. ;P- EXP:;ES:AJG.25,2C15
COmmISSIOn NO. EE107315 AUG.25,2015 Commission No. sE1o731s ��'o �:���`( +gI)PARGNi10rARYcam
4M°N.AAR.NNOTARYcom
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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