HomeMy WebLinkAboutMarcelle Permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/6/2020
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
PERMIT TYPE: Interior Remodel
PROPOSED IMPROVEMENT LOCATION:
Address: 8817 First Tee Rd. Port St Lucie, FI. 34986
Commercial Residential xx
Property Tax ID #: 3334-500-0054-000-3
Site Plan Name: POD 33 at The Reserve Phase 1 Kingsmill
Project Name: Marcelle Interior remodel
DETAILED DESCRIPTION OF WORK:
Lot No. 43
Block No.
Kitchen, Master Bath, Guest bath & Powder Bath complete remodel including updated plumbing and updated electric
interior trim and painting , replace tile floors thru-out--S+e_. Q �AL {.-rte .S l ® P�e_ Lf4 -
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping — Shutters _ Windows/Doors
�A Electric %e Plumbing _ Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: 110—C a Q
Cost of Construction: $ ) �
c7-Ub 9:1Q
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Henry & Jacqualine Marcelle
Name: Ed Gribben
Company:Gribben Const. dba Dreammaker Bath & Kitchen
Address: 8817 First Tee Rd.
City: Port St Lucie, FI. State: —
Zip Code: 34986 Fax:
Phone No.
Address: 6118 SE Federal Hwy
City: Stuart State: FI
Zip Code: 34997 Fax: 772-286-2072
Phone No 772-288-6255
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Maildave@dreammaker-stuart.com
State or County LicenseCGC1507879
If value of construction is $2500 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:
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DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
COUNTY OF atJ{�I
Address:
The forgoing instrument was acknowledged before me
thiA day of AJ _p� 20Q) by
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
Address:
Not Applicable
Address:
City:
City:
Zip: Phone:
( ture of Notary bl+ ,s t�11s 1110FE 1)
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Zip: Phone:
Commission # GG 060969
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LIDER OR AN ALFQRNEY BEFORE RECORDING YOUR NOTICOMMEyC-!= Ems."
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Signa re of Owner/ Lessee/Contractor as Agent for Owner
Si nature of Contractor/License Holder —
STATE OF FLORIDA
COUNTY OF AA9
STATE OF FLORIDA
( I`dJ
COUNTY OF atJ{�I
Therrf��jjrgoing instrument was acknowledged before me
thisLB"� day of 2Q_0 by
The forgoing instrument was acknowledged before me
thiA day of AJ _p� 20Q) by
Name of person making statement.
Name of person making statement.
Personally Known Y OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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( ture of Notary bl+ ,s t�11s 1110FE 1)
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(Signature of Notary A 1 �� 060969
Commission # GG 060969
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P0. E0res May 8 2021
Commission No. ExpiresMaf*ZQ?1
Commission No. '% oFa.° ThrurroESBai�rance800-365-7019
.°••' Bonded Thu Troy Fain Insurance 800.3851019
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