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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: November 17, 2016 Permit Number: 70cPw4c5MNmT p Aw 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: 12 Lake Vista Trail 105 Port St Lucie FL Legal Description: Vista St Lucie Building 12, Unit 105 Property Tax ID #: 3422-500-0159-000-9 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) Iraw 0 0 Block No. CONSTRUCTION INFORMATION: Additional work to be nerformed under tispermit–check all that appy: 11HVAC Gas Tank E]Gas Piping Shutters Q Windows/Doors ©Electric I rel Plumbing Sprinklers Q Generator Roof Roof pitch Total Sq. Ft of Construction: _ Cost of Construction: $ 850.00 S Ft. of First Floor: _ Utilities. — Sewer 11 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Dona Ives Address: 12 Lake Vista Trail 105 Name: Gary W. Zanello Company: Port St Lucie Plumbing City: Port St Lucie State: FL Zip Code: 34952 Fax: Phone No. 772 353-0199 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: portstiucieplumbing@gmail.com State or County License: CFC058025 If value of construction is $2544 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 TITLEHOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: 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 thepermit holder to build the subject structure which is in conflict Faith 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 accessary uses to another non-residential use WARNING TO OWNER.: Your failure to Record a Notice of Commencement may result in your paying twice for irn"rrw m�r�ts t47) VOU pCCpq&. Zy. A Notice of Commencement ciiust be recc+ded and posted on the jobsite before the first inspection_ If you intend to obtain financing, consult with lender or an attorney before comme-ncing work or recording our Notice of Commencement. s Ig ner/Lessee/Contractor as Agent for Owner Sig a actor icense Holder FLORIDA S TE OF FLORIDA COUNTY OF SL -de COUNTY OF 5>_ Lucie The foroing instrument was acknowledged before me The forgoing instrument was acknowledged before me g g � ,s»} JZJ VI�1I t b tar 24 /6 by this /6- _day of 20 [�by this day of , Gary W. Zanello Gary W. Zane4lo (Name of person acknowledging) (Name of person acknowledging) (S>gnature of Notary Public- Stat f Florida) (Signature of Notary Public- S e of Florida) Personally Known x (����ced Idents-��{fin l�u „� Personally Known x � d Identi"Wet Bi lid n Y Type of Identification Prod a �r Type of Identification ProdeQed MM! N OFFEAM arT - EXP{R€S: August 25, 2Q19 iramml551Pn NO. FF ''. (WAAROt NflTARY.COM EICr'IRES:Augu5i25,2039 FF941499 �''""��` Commission No. ^ i�„Q°R11w�t �flONAEOTgRY.£OM Revised 07/15/2014 4C1/IF� FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE