HomeMy WebLinkAboutWATER HEATER, GAS OR ELECTRIC ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: November 04,2015 Permit Number.
s _ RECEI'."7D NOV 04.2015
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone.(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing -
PROPOSED IMPROVEMENT LOCATION:
Address: 7 Lake Vista Trail#207
Legal Description: Vista St. Lucie Building 7, Unit 207
Property Tax ID#: 3422-500-0098-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
Replace 30 gallon electric water heater and 314" bail valve (like to like)
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CONSTRUCTION INFORMATION:
Additional work toe performed under this permit—check all that appy:
1JHVAC Gas Tank 0Gas Piping _Shutters L_1 Windows/Doors
11 Electric 0 Plumbing OSprinklers LJ Generator Roof
Total 5q. Ft of Construction: S�Ft.j of First Floor:
Cost of Construction:S SQL ) Utilities:nSewer ESeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Robert Fielding Name: Gary W.Zanello
Address:7 Lake Vista Trail 4!207 Company: Port St. Lucie Plumbing
City: Port st. Lucie .State:Fl Address: 6907 Heritage Dr.
Zip Code: 34952 Fax: City: Port St. Lucie State:Fl
Phone No.772 878-2597 Zip Code: 34952 Fax: 772 489-9126
E-Mail: Phone No. 772 468-6524
Fill in fee simple Title Holder on next page t if different E-Mail: portstlucieplumbing@gmail_cam
from the awner fisted above) State or County License: CFC058025
I if value of construction is$2500 or more,a RECOMED 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:
Zi p: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: T Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: city.-
Zip:
ity:Zip: Phone: Zip: Phone:
1 certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Counttyy 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 recording our Notice of Commencement.
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_SignatureOwner/ see/Agent Signature OF
cntracto cense Holder
STATE OF LORIDA STATE OF FLORIDA
COUNTY OFst.Lucie COUNTY OFSt.Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_x_+hday of N oye_l+-(�e r 20 Eby this 41h day of"ove-ber
20 15 by
Gary W.Zaneuo Gary W.Zanello
(Name of person acknowledging) (Name of person acknowledging__Jkll�& &0&_ a4a;Z2
)
(Signature of Notary Public-10te of Florida) Signature of Notary Public-S e of Florida}
Personally Known x ' OR Produced Identification Personally Known x OR,�P1���,� ced fdentif. a .q
Type of Identification Produced Type of Identification Produ LOW9%'� �yEIIB
� COMMI ION HR
, Danielle Biglin * OVV11��111N�DD11Yn
Commission No. FF901099 Sea[L-___ Commission No.FF901099 - (51 1 Augunzr
tISSION MW1099 -.. WWMf ONNDTAP>
EXPIRE$August 25.2019 ' aua++``
Revised 07/15/2014
LWS FRONT ZONING SUPERV15OR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
ETE
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