HomeMy WebLinkAboutBuilding Permit Application (2)SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Address:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. LucieCounty 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; vour Notice of Commencement.
s
_ SignatIF
of O er essee/Agent Signature of �ntra� License Holder
STATE FLORIDA STATE OF FLORIDA
COUNTY OF SL Lucie COUNTY OF s—C1e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 _by this " day of A'"' 20 by
Gary W. Zanello 1 Gary W. Zanello
(Name of person acknowledging) (Name of person acknowledging)
-Awj�& La—& . Z4--
(Signature of Notary Public- Sta of Florida) (Signature of Notary Pubg- State of Florida )
Personally Known x uced Iden` Personally Known x R. duced Ide tifica�l
Type of Identification Pro � �% � �f99Type of Identification Pr 4r. -c DAN Ittl-
FP901 — COMMIS" tF OIN9
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Commission No. FF901099 �_.iES Commission No. FF90109 s
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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
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 1, 2016
Permit Number:
-
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Residential X
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 9407 Avenel Ln Port St. Lucie
Legal Description: Pines at the Reserve
Property Tax ID #:
Site Plan Name:
3322-502-0018-000-8
Project Name:
Setbacks Front Back: Right Side; Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 50 gallon electric water heater (like to like)
CONSTRUCTION INFORMATION:
Minna wnr to a ne orme un ert is permit—
OHVAC U Cas Tank HGas Piping
aElectric Lr 1 Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 325.00
OWNER/LESSEE:
all apply:
Shutters
L� Generator
S Ft. of First Floor:
Utilities:Cn Sewer 11 Septic
Name Robert Sondike
Address: 9407 Avenel Lane
City: Port St. Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 772 460-2996
c-nnail-
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Lot No. 12
Block No.
QWindows/Doors
Roof
Building Height:
Name: Gary W. Zanello
Company: Port St. Lucie Plumbing
6907 Heritage Dr.
City: Port St. Lucie State: FL
Zip Code: 34952 Fax: 772 489-9126
Phone No. 772 468-6524
F_Maii portstlucieplumbing@gmail.com
State or County License: CFC058025
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.