HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 19, 2016 Permit Number:
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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
Address: 4 Lake Vista Frail #204
Legal Description: Vista St. Lucie Building 4 Unit 201
Property Tax 117 #: 3422-500-0050-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Replace 30 gallon electric water heater (like to like)
Residential X
Lot No.
Block No.
jaitionai worK to ne perrormea unser tnis permit -- cneCK au mat appiy:
HVAC Gas Tank F]Gas Piping D Shutters ❑. Windows/Doors
11 Electric Plumbing F]Sprinklers I Generator 11 Roof
Total Sq. Ft of Construction: —
Cost of Construction: $ 850.00
Sq. Ft. of First Floor: _
Utilities:Ll Sewer 11 'Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Joseph Desrochers
Name: Gary W. Zanello
Address: 4 Lake Vista Trail #201
Company: Port St. Lucie Plumbing
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 772 336-8336
Address: 6907 Heritage Dr.
City: Pori St. Lucie State: FL
Zip Code: 34952 Fax: 772 489-9126
Phone No. 772 468-6524
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: Portstlucieplumbing@gmail.com
State or County License: CF'C058025
If Value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAVA 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:
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 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, 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 thrice 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 your Notice of Commencement.
4,4,VGAs
Signaturof Own /,lessee/Agent Signature of Co ractor/Lic s Holder
c. r
STATE OF FLORIDA STATE OF F /ORIDA
COUNTY OF st Lucie COUNTY OF st Lucie
The for of instrum . nt was, acknowledged before me The forgoing instrument was acknowledged before me
this � t[ a + of �;'r1 2-0 t &by this f" day of Ap"i ZO by
Gary w. Zanello 1 Gary W. Zanelio
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- ate of Florida } (Signature of Notary Public- State oyflorida }
Personally Known x OR Produced Identification Personally Known X OR Produced identification
Type of Identification Produced Type of Identification Produced
H , f ` g . I Danielle Bi lira
anielle Bi lin Big
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COM IS5iON 1FF501055 = ?F= EXPIRES: August 25.2019
is= EXPIRES: August 25.2015
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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