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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: June 03, 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: 414 SE Tranquilla Ave. Port St. Lucie, Fl Legal Description: River Park Unit 4 Property Tax ID #: 3419-530-0083-000-8 Lot k N Block. No. Site Pian Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Run 4" PVC sewer line from left rear of house to city sewer tap. CONSTRUCTION INFORMATION: Additional work toa pe orme un er ©HVAC U Gas Tank 11 Electric 0 Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 2200.00 this permit— cnecK an ioaL apply- nGas Piping _ Shutters Q Windows/Doors Sprinklers 'Generator 11 Roof S Ft. of First Floor: Utilities Sewer 11 Septic OWNER/LESSEE: Name Rudolph and Alberta Widman Address: 414 SE Tranquilla Ave. City: Port St. Lucie State: FI Zip Code: 34983 Fax: Phone No. 772 871-6626 E -Mail: . Fill in fee simple Title Holder on next page (if different from the Owner listed above) CONTRACTOR: Building Height: 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: portstlucieplumbing@gmail.com State or County License: CFC058025 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone: 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 mares no representation that is granting a permit will authorize thepermit 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 recur in _ Sign ur ofWer/ Lessee/Agent STATE OF FLORIDA COUNTY OF Hama ur Notice of Commen The forgoing instrument was acknowledged before me this 3 day of SunC 20 L� by Gary W. Zanello 1 (Name of person acknowledging) STATE OF FLORIDA COUNTY OF Fh5r, 4Gt The forgoing instrument was acknowledged before me this " day of June 20 by Gary w, Zanello (Name of person acknowledging) r A K (Signature of Notary Public- tatte of Florida) (Signature of Notary Public- Stat ` of Florida } Personally Known x O , ,(; ,� duced Identification Personally Known c a uced Identification Type of ldentification Pro ++ ue`''% Dcaniek gig In Type of identification Pro ' pr�.r''�. Ovielle grill COMMISSION #RM096 bac �= COMMISSION /FI:9 JM Commission No. FF9o1093�* n (MgffS.Aupust25,2019 Commission No. FF901099 Au9W26.2019 `r WWw.AARONNOTARY.cGm �i� 0`FFL ���� WWIV.AARONNOTARY,COM Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS