HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1-D0i5p Permit Number:
Building Permit
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
PERMIT TYPE: Residential Remodel
PROPOSED IMPROVEMENT LOCATION:11001 S Indian River Drive
Address: 11001 S Indian River DR, Fort Pierce, FL 34982
Property Tax ID #: 3532-503-0030-000-6
Site Plan Name:
Project Name:
FEB 2 12020
on
Permitting Departmer
St. Lucie County, FL
Residential X
Lot No.
Block No. _
DETAILED DESCRIPTION OF WORK:
Remodel existing Kitchen. Replace cabinets and countertops, Remodel existing bathroom, turn existing existing tub/shower into standing shower.
Remove non -bearing wall to expand kitchen. Repair drywall.
Frame for new fireplace. Supply and Install new ventless propane fireplace.
Add new outlets and lights per plan.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
XElectric Z: Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 1144 Sq. Ft. of First Floor: 1144
Cost of Construction: $ 50,000 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameTheresa Polhemus
Name: Robert Cenk
Address:11001 S Indian River DR
Company:Homecrete Homes, Inc
City: Fort Pierce State: _
Zip Cade: 34982 Fax:
Phone No.(845) 641-6510
Address:2162 Reserve Park Trace
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone N0772-873-6707
E-Mail:polhemust@acl.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail bcenk@homecretehomes.com
State or County LicenseCGC0637500
it value of construction is 52500 or more, a RECORDED Notice of Commencement Is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x 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:
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 Counttyy 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
TWI FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
PO D ON THE JOB SITE BEFORE THE FIRST INSPECTICIP&AF YOU INTEND TO OBTAIN FINANCING, CONSULT
W H OUR LEIII1139111 OR AN ATTORNEY BEFORE RECORDING Y URMOTICE/6F COMMENCEMENT."
VBT
Signaltdre of Owner/ Lessee/Contractor as Agent for Owner
Sign ure of Con ractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF �rl• 1 I) C 4 ,
COUNTY OF cA—S-� C 1 5iCJ E,
The for o(ng instrument was acknowledged before me
thig day of { 4 20,,�JQby
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The folg9ing instcuxnent was acknowledged before me
th(15fflay of , 20D by
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I
Name of person making statement.
Name of person making statement.
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Personally Known OR Produced Identification
Personally Known OProduced Identification
Type of Identification
Type of Identification
Produced
Produced
Signature of Notary P lic- Sta
ture of Notary Public-Sate,n. '
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19