HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/30/2015 Permit Number:
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Building Permit Application .
Pfanning 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 - wo��c ��q�� C
PROPOSED IMPROVEMENT LOCATION:
Address: 8821 First Tee Rd
Legal Description- POD 33 At The Reserve Phase 1 Kingsmill
Property Tax ID#:3334-500-0053-000-6 Lot No.42
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 50 gallon electric water heater (like to like) 3/4" ball valve and expansion tank
CONSTRUCTION INFORMATION:
Additional work to be np rmed under t rs permit—check all InDappy:
HVAC Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
Electric Plumbing Sprinklers -Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 875.00 Utilities:Sewer 1:1 Septic Building Height:
OW N ERAESS EE: CONTRACTOR:
Name Peter Erwin Name: Gary W.Zanello
Address:8821 First Tee Rd. Company: Port St Lucie Plumbing
City: Port St. Lucie State•Fl Address:6807 Heritage Dr.
Zip Code: 34986 Fax: City: Port St. Lucie State:Fl
Phone No.908 321-3021 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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5UPPLEMENTAL CON5TRUCTION 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.
St.Lucie Count 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 retarded 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.
s
_Signat a of er/Lessee/Agent SignatureContrr/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFsL Lucie COUNTY OF-St Lucie
The forgoing instru nt was acknowledge before me The forgoing instrument was acknowledged before me
this_, day of U• 20 Lby this 30m day of November Zp /5 by
Gary W.ZaneOo 1 Gary W.Zanello
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-Stdth of Florida) (Signature of Notary Public-Stated., Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification ProduII B _ Type of Identification Produced
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Commission No. FF9010SU f� 'sISSION #M1098 Commission No. FF9o1099
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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