HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June 30, 2016 Permit Number:
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 Residential X
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 9310 Briarcliff Trace Port St. Lucie
Legal Description: Briarcliff @ PGA Village
Property Tax ID #: 3322-801-0037-000-5
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side
DETAILED DESCRIPTION OF WORK:
Left Side:
Replace 55 gallon electric water heater, 3/4" Wale and expansion tank (like to like)
Lot No. 32
Block No.
CONSTRUCTION INFORMATION: .
Additional work to be ertormed under this permit— check all apply:
i11HVAC L Gas Tank 0Gas PipingShutters F]Windows/Doors
[I lrJ Plumbing Sprinklers Generator LJ Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 950.00
OWNER/LESSEE:
SFt. n
of First Floor:
Utilities:cn Sewer []Septic
Name Michael Catalogna
Address: 9310 Briarcliff Trace
City: Port St. Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 772 595-1771
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: FL
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:
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
— Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
State:
Not Applicable
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.
_ Signature o>!'/Ow®rlessse,/fteen,
STATE OF FLORIDA
COUNTY OF st wrie
The forgoing instruqlgnt was acknowledged before me
this 30 day of JUcnE= . 20 16 by
Gary W. Zanello -L
(Name of person acknowledging)
(Signature of Notary Public- St of Florida )
Personally Known x '+ �luced IdJWkhWn
Type of Identification P_ u S C.0MMISSION OFP901099
� RES: Aoust 25,2D19
Commission No. EE90109�,�l�F•-.. `,` VA"AMONNOTARY.eOM
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
Signature of Co ractor/ ease Holder
STATE OF FLORID
COUNTY OF $t waie
The forgoing instrument was acknowledged before me
this 301h day of June . 20 by
Gary w. Zanello
(Name of person acknowledging)
(Signature of Notary Public- State of Flo da)
Personally Known x , q!' duced Ide
Bolin
Type of Identification Pr c..y
eE901095 �.9Qust 25, 2019
Commission No. .� •. . • NOrARY.cOIw
SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW