HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MU BE COMPLETED FOR APPLICATION TO BE ACCEPTED U
Date:'ro Permit Number:
RECEIVED JUN 1'9,2015
Building Permit Application
Planning and Development rvices
Building and Code Reguldtioi i Division
1300 Virginia Avenue,Fort P erce FL 34981
Phone:(772)462-1553 F x:(772)462-1578 Commercial Residential X X
PERMIT APPLICATIOFOR: Rk =wa
PROPOSED IMPROVE ENT LOCATION:
Address: 30 Lake Vista Trail#101
Legal Description: Building 0 Unit 101
Property Tax ID#: 3422-50 0407-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIC N OF WORK:
Replace 30 gallon elec ric water heater(like to like)
CONSTRUCTION INFO MATION:
Additional work tobene rim ed under this permit—checka appy:
E1HVAC !_I G s Tank ❑Gas Piping _Shutters 0 Windows/Doors
11 Electric 0 Plumbing Sprinklers 1:1 Generator 0 Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 800 0 Utilities:[]Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Earl bacon(Tr) Name: Gary W.Zanello
Address:30 Lake Vista Trail 101 Company, Port St.Lucie Plumbing, Inc.
City: Port St.Lucie State:FI Address: 6907 Heritage Dr.
Zip Code: 34952 Fax: City: Port St. Lucie State:FI
Phone No.772 341-8838 ,Zip Code: 34952 Fax: 772 489-9126
E-Mail: Phone No. 772468-6624
Fill in fee simple Title Hold r on next page(if different E-Mail: portstlucieplumbing@gmail.com
from the Owner listed abo e) State or County License: CFC058025
If value of construction is$25 0 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: Zip: Phone:
certify that no work or instal ation has commenced prior to the issuance of a permit.
St.Lucie County makes no rep'esentation that is granting a permit will authorize thepermit holder to build the subject structure
which is in conflict with any a 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 Y,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,swimmin7.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 your paying twice for
improvements to your property.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 recording our Notice of Commencement. f
s
Signatur of O%irV Lessee gent Signature of C ntracto J icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sc Luce COUNTY OF SL Lucie
The f Ing instr t was cknowledged before me The forgoing instrument was acknowledged before me
this Xfgy of 20 J.by this '9'h day of Ju- 20 15 by
Gary W.Zanello Gary w.Zanello
(Name of person acknowledge g) j (Name of person acknowledging)
i
1 �
i
(Signature of Notary Public-S to of Florida) (Signature of Notary Public-Sta of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produce I Type of Identification Produced
Commission No. EE107315 ;,� P�e ,,( �lieile Biglm Commission No. EE107315 :aa``�.°�� q�l3S�e Bigi3'
11— _!10NiEE107315COhSb'SSI frEE_0715
:a1 EXPIRES:AUG.25,2015 `9' 4Qc IXPIRES:AUG.25,2015
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE I
i
INITIALS I
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