HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: July 11, 2016
Permit Number:
- Jj _ _
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: 1207 Parkland Blvd. Ft. Pierce, Fl 34952
Legal Description: Riverdale Yacht Club Estates -Unit 2, Block 23 Part of Lot 4 and Lot 5
Property Tax ID #:310,763-0149,060- / Lot No. 4, 5
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:.
DETAILED DESCRIPTION OF WORK:
Replace 30 gallon electric water heater (like to like)
Block No. 23
Aciamonai work to ne errormea unser this permit— check all apply:
DHVAC Gas Tank DGas Piping _ Shutters Q Windows/Doors
11 Electric Plumbing Sprinklers Generator ❑ Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 800.00 Utilities:[]Sewer OSeptic Building Height:
OW N E RAESSEE:
CONTRACTOR:
Name Jean Keaton
Name: Gary W. Zanello
Address: 1207 Parkland Blvd.
Company: Port St. Lucie Plumbing
City: Ft. Pierce State: FL
Zip Code: 34952 Fax:
Phone No. 772 323-3287
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@gmail_com
State or County License: CFC058025
iT value or construction is :>Z5uu or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applica
Name: _
Address:
City:
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Name: _
Address:
City:
Zip:
Phone:
State
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
Not Applicable
State:
Not Applicable BONDING COMPANY: ^Not Applicable
Name:
Address:
City:_
Zip:
Phone:
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
structure. conflict
onsult with your Hlome Owers Association and reviwners Association ew your deed bylaws or or acovenants strict ons which restmay apply bit such
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 fender or an attorney before
commencing work or recording our Notice of Commencement.
s
Signatur of Ow Lessee/Agent Signature of Contr or/Li a Holder
STATE OF FLORIDA
COUNTY OF sc. Luc3e
The forgoing instr den was acknowledged before me
this 11fi!)day of 26 & by
Gary W. Zanello 1
(Name of person acknowledging)
(Signature of Notary Public -
Personally Known x
Type of Identification
Commission No. FF901099
Revised 07/1.5/2014
REVIEWS IFRONT
COUNTER
k DATE
COMPLETE
INITIALS
STATE OF FLORIDA
COUNTY OF St Lucie
The forgoing instrument was acknowledged before me
this 11th day of July J 20 by
Gary W. Zanello
(Name of person acknowledging)
Florida)(Signature
fIj�I111 (Signature of Notary Public- State Florida ]
y61 r
Ged Idf$ir~M M01099 Personally Known x pf� ldentificDait ' l�ftlin
EXPIRI���"� V*4 Type of identification Produ �''
EXPIRES: AuOuat 25,2019
Commission No_ FF901099 l'�,,,' �`�(31AI "ROHNOtARYMM
(Seal) — �- •,alit%
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