HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: November 29, 2016 Permit Number:
CC)LI r4 Y
FLO KI n A _%&W
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
Address: 18704 Mach One Drive Port St. Lucie
Legal Description: Aero Acres Blk 1 Lot 2
Property Tax lD #t: 3215-801-0009-000-1
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Replace 50 gallon gas water heater (like for like)
Lot No. 2
Block No. 1
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name Robert €3iGiovanni
Name: Gary W. Zanello
Additional work to be nerformed under this permit -- check
all apply:
City: Port St. Lucie State: FL
Zip Code: 34987 Fax:
Phone No. 508 944-7029
LJHVAC
L _I
Gas Tank
❑Gas Piping
_Shutters
State or County License: CFC058025
a Windows/Doors
11 Electric ❑✓ Plumbing
Sprinklers
Generator
Roof Roof
pitch
Total Sq. Ft of Construction:
SFt. of First Floor:
Cost of Construction: $ 950.00
Utilities:In
Sewero
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert €3iGiovanni
Name: Gary W. Zanello
Address: 18704 Mach One Dr
Company: Port St. Lucie Plumbing
City: Port St. Lucie State: FL
Zip Code: 34987 Fax:
Phone No. 508 944-7029
Address: 6907 Heritage Dr.
City.. Port St. Lucie State: A
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 $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:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
City:
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 your Notice of Commencement.
as Agent for Owner
STATE OF FLORIDA
COUNTY OF ss-«
STATE OF FLORIDA
COUNTY OF st —
The for ging instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of Q V , 20 16 by this o79 day of ,� OV , 20 /, by
Gary W. Zanello '- Gary W. Zanello
(Name of person acknowledging) (Name of person acknowledging }
z I I
IN//C
(Signature of Notary Public- S O to of Florida) (Signature of Notary Public- Statqo Florida )
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
DoieRe .•, y� Danielle @iglin
Commission No. FF9otoss lin
'� Jr'SeaIOMMISSiQN dFr'g01E199 commission No_ FF9o10* ,�_ dFF901099
"'— EXPIRES: August 25.2019
%• 7 cgfi `' WYYV� AARONNOTAFIY.COM EXPIRES: August 25.2019
Revised 07/1512014
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