HomeMy WebLinkAboutBuilding Permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12106/2016
Permit Number:
Planning and Development Services Building Permit Application
Building and Corte Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: {772} 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: `—� Residential
�
Plumbing �
PROPOSED IMPROVEMENT LOCATION:
Address: 28 Lake Vista Trail 103 Port St Lucie
Legal Description: Vista St Lucie Building 2S Unit 103
Property Tax ID ##: 3422-500-0381-000-4
Site Plan Name:
Project Name:
Setbacks Front
--. Back: Right Side:
DETAILE�DESC�RIPT`ION F WORK: Left Side:
Replace 3Qgallon electric water- theater (like for like)
CONSTRUCTION INFORMATION:
HVAC
vc CI iUrm e{]
�'�(jj��� Gas flank
LJ Electric I r J Plumbing
notal Sq. Ft of Construction:
:ost of Construction: $ 850.00
)WNER/LESSEE:
tnis permit --c
E]Gas Piping
Sprinklers
apply' —
Ci
Shutters
Generator
SFt. of First Floor
Utilities:11Sewer uSe'p—tic
Name Vincent lorio
Address: 28 Lake Vista Trail 103
City: Port St. Lucie
Zip Code: 34952 State: FL
Fax:
Phone No. 772 785-9758
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner fisted above)
CONTRACTOR:
Lot No.
Block No, ~`
E[ Windows/boors
11 Roof E—_1 Roof pitch
Building Height:
Name: Gary W. Zanelfo
Company: Port St Lucie Plumbing
Address: 6907 Heritage Dr
City: Port St Lucie
Zip Code: 34982 State: FL
Fax:
Phone No. 772 468-6524
E -Mail: por!stlucieplumbing@gmail.com
State or r-
u"L
If value of construction is $2500 or more, a RECORDED Notice of Cor►xmencement iy L,Cense: CFC058025
s required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: T Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: Stater
Zip: Phone:
FEE SIMPLE TITLE HOLDER:. _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 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
commenciniz work or recordine vour Notice of Commencement.
as Agent for Owner
STATE OF FLORIDA.
COUNTY OF st L—e
STATE OF FLORIDA
COUNTY OF a -i -
The forgoing instr"ent was acknowledged before meI The forgoing ins"ment was acknowledged before me
20 �v
this & t-1 day of 1 -,,LV
h thisda o#� L , 2Q I L b
Gary W. Zanello -- Gary W. Zanello
(Name of person acknowledging) (Name of person acknowledging)
LL J, & LL. Axu-& 11
(Signature of Notary Public- S to of Florida) (Signature of Notary Public -
Personally Known X OR
Type of Identification Produce!
Commission No. FF901099
Revised 07/15/2014
1le Bi li I Personally Known X
nN JFFWIftqA Type of identification Prod
EXPIRES: August 25, 201
4vww.AAR0NN0TARY.00Commission No. FF901099
ira
Florida)
Biglin
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS