HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: November 10,2015 Permit Number:
RECEW-SD NOV 10 1015
Building Permit Application
Planning and Development5ervices
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: 158 SE Placita Ct. Port St. Lucie
Legal Description: River Park Unit 7
Property Tax ID#.. 3419-550-0109-000-9 Lot No.B
Site Plan Name: Block No. 70
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Run new 2"drain line from kitchen sink to sewer in back of house and tie into sewer.
CONSTRUCTION INFORMATION:
A6clitional work toe e orme under this permit—check a apply:
HVAC El Gas Tank ❑Gas Piping _Shutters Q windows/Doors
Electric 0 Plumbing Sprinklers ElGenerator Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 800.00 Utilities:T]Sewer ElSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Giuseppe Difilippi Name: Gary W.Zanello
Address:137 NW Magnolia Blvd. Company: Port St. Lucie Plumbing
City Port St. Lucie State:F1 Address: 6907 Heritage Dr.
Zip Code: 34986 Fax: City: Port St. Lucie State:Fl
Phone No.772 985-6625 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.cam
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:
DESIGNER/ENGINEER: _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.
5t. 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;l do hereby agree that 1 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 usesto another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your payiingtwice 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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_Signature of ner/L ssee/Agent Signature of Co actor/ l ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY O F st.Lucie COUNTY O F st.uide
The foT oing instru�r�p?�e��nt wa acknowledged before me The forgoing instrument was acknowledged before me
this /O day of 1\W ek el~ -20I,�_Iby this 'Oh day of November 20 by
Gary W.Zanena Gary W.Zanello
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-gate of Florida} (Signature of Notary Public-St a of Florida}
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Personally Known x OR Produced Identification Personally Known x el! Id8Ml1
Type of Identification Produced Type of Identification P_ u � COMM15S10N lFf90t099
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Commission No. FF9o1a99 (Se MMISStWI �Fploto99 Commission No. FF901as94a; "" ' Www"DrMRYWM
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Revised 07115/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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