HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: October 31, 2016
Cdi1NTY �'R`
F L O R I I} R
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: 9308 World Cup Way, Pori St. Lucie
Legal Description: POD 20A at the Reserve PUD 11 Castle Pines
Property Tax ID #: 3327-801-0013-000-6
Site Plan Name:
Project Name:
Setbacks Front Back: (tight Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 40 gallon electric water heater (like to like)
Lot No. 5
Block No.
CONSTRUCTION INFORMATION:
Additional work to be vej rtormed under this permit— check all apply:
HVAC L_I Gas Tank FGas Piping _ 5hutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof I
Total Sq. Ft of Construction:
Cost of Construction: $ 850.00
OWNERAESSEE:
Sq. Ft. of First Floor:
Utilities Sewer 1:1 Septic
Name Aaron Maddox
Address: 19451 Warrington Dr
City: Detroit State:MI
Zip Code: 48221 Fax:
Phone No. 772 828-9455
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Building Height:
IRoof pitch
Name: Gary W. Zanello
Company: Port St. Lucie Plumbing
Address: 6907 Heritage Dr,
City: Port St. Lucie State: FL
Zip Code: 34952 Fax: 772 4899126
Phone No. 772 468-6524
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 MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
State: City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Rhone:
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 your Notice of Commencement.
9
ontractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF St. La.
The for oing instrurne t was acknowledged efore me
this ZE day of GC'r 20 by
Signa n1
Can , or/ nse Halder
STATE OF FLORIDA
COUNTY OF StCude
The forgoing instrirma t was acknowledged before me
this � day of J6_1 . 20 %b by
Gary W. Zanello 1 Gary W. Zenello
(Name of person acknowledging) (Name of person acknowledging)
a ••
(Signature of Notary Public nate off Florida } (Signature of Notary Public- St �ofFloriida }
Personally Known x OR Produced Identification Personally Known x O `�Prgd. uced Identification
" "'r Wnielle ®inlin Type of Identification Prod�tt'' �� '�. Danielle
Malin
Type of Identification Pro(�}a'',
?_ %= COMMISSION #FF909099 COMMISSION iFF901099
Commission No. FF94'109ilG I r"&- August 25, 2019 Commission No. a Fsoiflss s� �•'r�? ( : August 25, 2019
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4NwW.AARRNNOTAitY.COM ., igFR. ��
Revised 07/15/2014
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