HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLEFO U BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: - T� Permit Number: /sv e- CP �� r
RECEIVED
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�— Building Permit Application
Planning and Development Services AUG 13 2015
Building and Code Regulotion Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)467-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 9636 Enclave Cr
Legal Description: Enclave at the Reserve Lot 10
Property Tax ID#:� 604-0442-090=0- 2-, 900 —6d)S Lot No.10
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 30 gallon Low electric water heater(like for like)
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit-check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters L__1 Windows/Doors
11 Electric Plumbing Sprinklers 1i Generator E]Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 800.00 Litilities:llSewer ElSeptic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Terry MacDow Name: Gary W.Zanello
Address:118 Ridgevale Dr. Company: Port St.Lucie Plumbing, Inc.
P Y�
City: Bedford State:NS Address: 6907 Heritage Dr.
Zip Code: B4AS5 Fax: City: Port st.Lucie State:Fl
Phone No. Zip Code: 34952 Fax 772 489-9126
E-Mail: Phone No. 772 468-6524
Fill in fee simple Title Holder on next page(if different E-Mail: portstlucieplumbing@gmail.com
from the Owner listed above) State or County License: CFC058025
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERIENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: 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 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 your paying twice for
improvements to your property.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 recordog your Notice of Commencement.
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Si re of her/Lessee/Agent Slgnat f Con Ctor X cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St L.6. CO U NTY OF-St Luae
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Yday of u 20 Eby this 13th day of ^°9°M 20!$ by
Gary W.Zanello ` GaryW.Zanello
(Name of person acknowledging) {Name of person acknowledging)
(Signature of Notary Pu c-State of Florida) (Signature of Notary Public-Stat of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
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EE107315 ;?� ��' ISSIC`I EE107315 = cCOI rEE_07315
Commission No. - Commission No. eero7315 = . <_ r/ 1
20 ES:AUG.25,2015 E`:P•cN�J3.25,2D15
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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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