HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: September 28, 2016
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: 158 SE Luccro Dr. Port St. Lucie
Legal Description: River Park Unit 7 Block 71 Lot 8
Property Tax lD #: 3419-550-0131-000-2
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
F6 DESCRIPTION OF WORK:
Replace 30 gallon electric Water heater
Lot No. 8
Block No. 71
CONSTRUCTION INFORMATION:
Add itiona I work to be ertormed under tispermit—check all appy:
HVAC Gas Tank []Gas Piping Shutters a Windows/Doors
11 Electric ❑� Plumbing Sprinklers L_I Generator 11 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 850.00
SFt of First Floor:
UtiiitiestSewer OSeptic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Sheldon Dass
Name.. Gary W. Zanello
Address: 6775 SW 53rd St.
Company: Port St. Lucie Plumbing
City: Miami State: FL
Zip Code: 33155 Fax:
Phone No. 305 978-6379
E -Mail:
Address: 6907 Heritage Dr.
City: Port St. Lucie State: FL
Zip Code: 34952 Fax: 772.489-9126
Phone No. 772 468-6524
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: portstiucieplumbing aggmail.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:
Address:
BONDING COMPANY: Not Applicable
Name:
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
commencing work or recording vour Notice of Commencement.
d
as Agent
STATE OF FLORIDA
COUNTY OF St. Lucie
The forgoing instru nt w�a s acknowledged before me
thi day of�pT. 20 /6 by
Gary W. Zanello i
(Name of person acknowledging)
Avq��& ;&ii&
(Signature of Notary Public- St ,Y f Florida)
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. FF901099
Revised 07/15/2014
za ky ;��
e
re of cense
ntractor
STATE OF FLORIDA
COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
this 281h day of September 2016 by
Gary W. Zaneiio
(Name of person acknowledging)
(Signature of Notary Public- State of ida )
Personally Known x OR Produced identification
Type of Identification Produced����;�,�
Danielle Blgli
FOR') COMMISSION PFM kmmission No. FF901499
.nEXI9RES: August 25. 9
II)OOMMISWN #FF901099
EXPIRES: August 25, 2019
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