HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: September 22, 2016
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 10310 S. Ocean Dr. #703
Legal Description: Oceanrise Condominum Apt 703
Property Tax I D #: 4511-515-0061-000-7
Site Pian Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: 1
Replace 30 gallon electric water heater (like to like)
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name James Speck
Name: Gary W. Zanello
Additional work toe pertormed under this permit — check
all
appy:
Address: 6907 Heritage Dr.
City: Port St. Lucie State: PL
Zip Code: 34952 Fax: 772 489-9126
Phone No. 772 468-6524
HVAC
n
Gas Tank
❑Gas Piping
Shutters
LiWindows/Doors
ElElectric 0 Plumbing
QSprinklers
E]Generator
U Roof Roof
pitch
Total Sq. Ft of Construction:
SFt. of First Floor:
Cost of Construction: $ 850.00
Utilities:n
Sewer
[:]
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name James Speck
Name: Gary W. Zanello
Address: 2935 Bayberry Ridge
Company: Port St_ Lucie Plumbing
City: St. Louis State: MO
Zip Code: 63129 Fax:
Phone No. 772 225-6742 .Net
Address: 6907 Heritage Dr.
City: Port St. Lucie State: PL
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: portstiucieplumbing@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:
i
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 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
commencine work or recordine vour Notice of Commencement.
I/ z4vtzz
I� s
Signat e f WY/Lessee/Contractor as Agent for Owner Signat r of Contra r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
CO U NTY OF S< Lud. CO U NTY OF St. Lucie
The forgod"ng Inst ument was acknowledged before me The forgoing instrument was acknowledged before me
this&rci ay oGtel,4bor 200IL-by this zznd day of septemuer 2016
by
Gary W. Zanello a Gary w. Zanello
(Name of person acknowledging) (dame of person acknowledging)
(Signature of Notary Publ' State of Florida) (Signature of Notary Public- S e of Florida )
Personally Known X OR Produced Identification
Personally Known X
OR Produced Identification
Type of Identification Produced
PLANS
Type of Identification Produced
SEATURTLE
Commission No. FF901099
# 90
mmission No. FF901099
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(Se011pielle Biglin
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E1fPIR€5: August 25.
19
_
COmMIS51oN tFF901099
_
EXPIRES: August 25, 2619
COMPLETE
WWW.AARONNOTARY.COM
Revised 07/15/2014
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