HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /-?-/I - Permit Number:
° - J
•
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: 102 NE Jardain Rd fort St Lucie
Legal Description: River Park Unit 9 Part B Block 77 Lot 1
Property Tax ID #: 3419-565-0440-000-3
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side
Replace 50 gallon electric water heater (like for like)
Left Side:
Lot No. 1
Block No, 77
CONSTRUCTION INFORMATION:
j�
Additionalworkto e�e orme under this permit- check a appy:
E3HVAC I� Gas Tank Gas Piping _ Shutters Windows/Doors
LJ Electric LJ Plumbing Sprinklers L_I Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 900.00
5Ft. of First Floor: _
Utilities: — Sewer 0Septic
Building Height-
OWNER/LESSEE:
CONTRACTOR:
Name Rick Scherer
Name: Gary W. Zanello
Address: 102 NE Jardain Rd.
Company: Port St. Lucie Plumbing
City: Port St Lucie State: FL
Zip Code: 34983 Fax:
Phone No. 772 342-4353
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: portstlucieplumbing@gmail- com
State or County License: CFC058025
IT value Or Construction Is SLSuu or more, a RtUCIRDED 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:
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 with any applicable Nome Owners Association rules, bylaws or anc3 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, wails, 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
commencine work or recordine vour Notice of Commencement.
as Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sc L -m COUNTY OF st «
The f going inst u ent was acknowledged before roe The forgoing instr gent was acknowledged before me
this ffC3ay of 20 Lby this _Jt:� day of GaJYI 20 t-7 by
Gary W. Zanello `- Gary W. Zanello
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- tate of Florida) (Signature of Notary Public- tate of Florida )
Personally Known x OR Produ„y ntification Personally Known x .`` seduced Id taara
Type of Identification Produced Dmftq"iglirPype of Identification P_ b
low Rmloss
Commission No. FF9oEa9s EXPIRES:August2 , nmission No. FF9il9fl�'$�'' •... •'C#� R ust25.2019
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Revised 07115%2014
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