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HomeMy WebLinkAbout20-206 (1)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. 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 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 your Notice of Commencement. _Sign ure ofeOfher/ Lessee/Agent STATE OF FLORIDA COUNTY OF St. Lucie The for oing instrument was acknowledged before me this�� day of /`'� 2016 by Gary W. Zanello � (Name of person acknowledging) � dij V, �_ & ;5J, a (Signature of Notary Public ate of Florida } Signature I Co tractor/License Holder STATE OF FLORIDA COUNTY OF n Lucie The forgoing instrument was acknowledged before me this la' day of May , 20 (l, by Gary W. Zanello (Name of person acknowledging) (Signature of Notary Public- StAe of Florida } Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced ,Q ...�i", uatiiirtie Iii fart— .l �:i'�/,�b,,, Danielle Biglin Commission NO. FF961099 = eal COMMISSION OW109� Commission No. FF901099 ` 7t'% iSe a&MMISSIoN tFFWIM .i EXPIRES: August 25, 201: .]►: £XPtRES: August 25, 2019 wwwMRONNOTARY.CON wwwAARoNNOTAFtY.COM 4 rnnini *``` 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: May24, 2016 Permit Number: • rrr 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 X Residential PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 20 Lake Vista Trail 206 Legal Description: Vista St. Lucie Building 20 Unit 206 Property Tax ID #: 3422-500-0279-0006 Site Plan Name: Project Name: Setbacks Front Back: Right Side Left Side: DETAILED DESCRIPTION OF WORK: Replace 30 gallon Low -Boy electric water heater (like to like) IM6 0115.3 Block No. CONSTRUCTION INFORMATION: Additional work to be nertormed under this permit—check all apply: HVAC Gas Tank E]Gas Piping _ Shutters Q Windows/Doors 11 Electric Q Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: Cost of Construction: $ 850.00 S Ft. of First Floor: Utilities: Sewer 0Septic Building Height: OWNERAESSEE: Name James L. Perkins Address: 20 Lake Vista Trail 206 City: Port St. Lucie State: Fl Zip Code: 34952 Fax: Phone No. 772 785-7453 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Gary W. Zanello Company: Port St. Lucie Plumbing Address: 6907 Heritage Dr. City: Port St_ Lucie State: FI Zip Code: 34952 Fax. 772 489-9126 Phone No. 772 468-6524 E -Mail: portstiucieplumbing@gmail.com State or County License: CFC058025 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.