HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ISO?Date: Permit Number-
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34962
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 32 Lake Vista Trail 201
Legal Description: VISTA ST LUCIE BLDG 32 UNIT 201
Property Tax ID#: 3422-500-0442-000-0 Lot No.
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 toe e orme under this permit—check a appy:
HVAC Ei Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric W1 Plumbing Sprinklers E Generator Roof
Total Sq.Ft of Construction: S1_
Ft.of First Floor:
Cost of construction:$ 800-00 Utilities:nSewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Diane Gallery Name: Gary W.Zanello
Address:32 Lake Vista Trail 201 Company: Port St.Lucie Plumbing,Inc.
City: Port St. Lucie State:Fl Address: 6907 Heritage Dr.
Zip Code: 34952 Fax: City: Port st Lucie State:FI
Phone No.772 340-0790 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: Port! ucieplumbing@gmail.com
from the Owner listed above) State orC dlno�y 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:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
'rip, Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: i Not Applicable BONDING COMPANY: —Not Applicable
Name: Name:
Address:
ame-
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 Count makes no representation that is granting a permit will authorize the permit holderto 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 exemptfrom 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 recording our Notice of Commencement.
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S
_Sign re of ner/Lessee/Agent Signa e f C ctor e e Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF st.woe COUNTY OF st.use
The forgoing instru nt was acknowledged before me The forgoing instrument was acknowledged before me
this
�Iaay of 20 1 by this 141i day of nu9�1 201 by
Gay W.7aneflo ` Gary W.Zaneio
(Name of person acknowledging J (Name of person acknowledging)
(Signature of Notary Pu -State of Florida) (Signature of Notary Public- ate 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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Danielle biglin 'c�RZt Ppa.. t I I f�ibfi;
Commission No. EE107315 s= �c=(( '�1PO.,N#E-107315 Commission No. EE107315 °z: ; Cit t P: EEi073'•5
AUG.25,2015 ;; ,.fie;cXr RES;Ai G,25,20-5
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Revised 07/1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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