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Building Permit Application
i ALL APPLI AB INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 Permit Number:l i .. ( Aerylovo-1 ©', (�) Building Permit Application H%Sc. geti o VaJio.'J 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: Renovation - PROPOSED'IMPROVEMENT'LOCATIQN " Address: 8801 One Putt PL, Port Saint Lucie Florida Legal Description: POD 33 at the Reserve Phase 1 Kingsmill, Lot 82 (or 3971-2834) Property Tax ID#: 3334-500-0093-000-8 Lot No.82 Site Plan Name: Block No. Project Name: Cameron Remodel Setbacks Front Back: Right Side: Left Side: :�D.ETAILED.DESCRIPTION ORWORK . I .n New Flooring throughout, New Cabinetry throughout, Change &Add electrical lighting &switches, change bathtub, bathrooms plumbing fixtures (all), replace all shower tile throughout, Painting I`�ec. J_AtP_ G(_ AP_110Va4l0 -CONSTRUCTION INFORMATION. Additional work toe e orme under this permit–check a appy: HVAC E]Gas Tank ❑Gas Piping _Shutters Q Windows/Doors R1Electric0 Plumbing ❑Sprinklers E Generator E] Roof Total Sq. Ft of Construction: S . Ft.of First Floor: Cost of Construction:$rt5` / j, 3(��� Utilities:Sewer Septic Building Height: ' I OWNER/LES SEE 4CONTRACTOR Name Pierre Cameron,Guy Cameron,Jean Cameron Name: Aurelio F.Pereira Address:1375 Chemin du lac Company: Villadelta Construction Corp. LLC City: Sainte-Chatherine de Hately State:0C Address: 1425 SE Village Green Drive Zip Code: JOB 1 WO Fax: City: Port Saint Lucie State:FL Phone No.1-819-571-6245 Zip Code: 34952 Fax: 888-869-1058 E-Mail:pierre@groupecameron.com Phone No. 772-444-2577 Fill in fee simple Title Holder on next page(if different E-Mail: bob@villadelta.com from the Owner listed above) State or County License: bRC058035 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.'. i SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION- DESIGN ER/ENGI NEER: NFORMATION: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: Phone: I OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated. 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 our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORID�5�J V�L1_rl COUNTY OF COUNTY OF The forgoing instrument wasIcknowledged before me The f gni n instrum t was acl owledged before me this,2y{'`iday of Accu- 20/ by this of / 20L-'Zy CCLVVN e C'C5 Name of person making statement Name of person making statement Personally Known OR Produced Identification Personally Known OR Produced Identificatiofi---__ Type of Identification Type of Identifiop� Produced Produced HAPADEAU AVOOATE (Signat ry lorida') (Si a of No ry u Imo° `o€FNAtsdtaFjublic-State of Florida , e Pee • •; Commission#GG 010707 res Aug Commission No. 0 o t 1 .ot�dg�,l�c J1H 4J9 Commission No. °"�� Bonded throuMY gh National Notary AsOsno REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17