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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: July 11, 2016 Permit Number: Ct7L1NTY ` F 4 O R L 0 A 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: 7309 Reserve Creek Dr. Port St. Lucie, FI 34986 Legal Description: Reserve Creek Parcel 5 Property Tax ID #: 3322-601-0021-000-6 Site Plan Name: Project Name: Setbacks Front Back: DETAILED DESCRIPTION OF WORK: Right Side: Left Side: Replace 40 gallon electric Water heater (like to like) Lot No._ Block No. iaitional work to ue pertormect ®HVAC Gas Tank under this permit– check allapply: Gas Piping Shutters Q Windows/Doors 11 Electric Plumbing Sprinklers F Generator Roof Total Sq. Ft of Construction: — Cost of Construction: $ 900.00 S Ft. of First Floor: _ Utilities:In Sewer FISeptic Building Height: OWNERAESSEE: CONTRACTOR: Name Stephen Navaretta Name: GaryW. Zanello Address: 7309 Reserve Creek Dr. Company: Port St. Lucie Plumbing City: Port St. Lucie State: FL Zip Code: 34986 Fax: Phone No. 772 359-3222 Address: 6907 Heritage Dr. City: Port 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@gmaii.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: City: Address: 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 Horne 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 recordine vour Notice of Commencement. 444 k / A zIL & �L w _ signatur of Ow / Lessee/Agent Signatu of COP o actor/License Halder STATE OF FLORIDA STAT OF FLORIDA COUNTY OF St. Lucie COUNTY OF st Lucie The forgoing instrunip-n was acknowledged before me The forgoing instrument was acknowledged before me this l (.I,, I"hday of � � �t 20 IL -by this 1Ith day of "'Y , 20 by Garyw. Zanello a Gary W. Zaneilo (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public- S to of Florida) (Signature of Notary Public- Stat of Florida ) Personally Known x OR Produced Identification Type of Identification Prodmu't�i�/1.�, lrlle Commission No. FF901099 Revised 07/15/2014 CQ MISSION #FF"ION (Si REs: August 25.2019 WWW.MRONNOTARY-COM Personally Known x OR�f,Qrduced Identification Type of IdentificatnnniBliB Bi iin COMMISSION fFF901099 Commission No. FF901099 S ( August 25, 2019 . it OFP WWW.AARONNOTARY.COM REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS