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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7-23-2020 Permit Number: �G a� dl 64!�
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:Bathroom Renovation
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Address: 7655 Greenbriar Circle, St. Lucie West, FL 34986
Property Tax I D#: 3322-700-0109-000-1 Lot No.104
Site Plan Name: POD 19 PUD II Greenbriar(PB 41-5) Block No.
Project Name:
d�TA1�:�I� G✓ p}M �R(P��)Q F° YY�37 ��3 Sr` "��e �; � s;`=`` ����7's` , ,t�� - r$�a "? a ?{t �,�dk.�`i: u€?
Replace fixtures,tile and cabinetry in master bathroom
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
K Electric I Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 25,000 Utilities: —Sewer _Septic Building Height:
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NameVera I Kunnath &Christopher O'Hara Name:Joseph Zangre
Address:7655 Greenbriar Circle Company:The Z Group, LLC
City: St Lucie West State: A_ Address:2586 SE Stonegbriar Way
Zip Code: 34986 Fax: City: Stuart State:FL
Phone No. Zip Code: 34997 Fax: 772-286-7152
E-Mail: Phone N0772-546-7669
Fill in fee simple Title Holder on next page(if different E-Mailzgroupllc@bellsouth.net
from the Owner listed above) State or County License CRC 017467 &CBC 1261014
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPA Y: _ Not Applicable
Name:NA AlA Name:NA IN7
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Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY- t1 _Not Applicable
Name:NA Name:NA /Y KA
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 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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 Dwner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF ,))
Sworn to(or affirmed)and subscribed before me of Swor o(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this day of_ 2020 by this Z'� day of J-yy 2020 by
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Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known v" OR Produced Identification
Type of Identification Type of Identification
Produced Produced
of Notary Public-State of Florida l
(Signature Y ) (Signs re of Notary P110 -State j Notary Public-State of Fk rid
Seal Commission#GG0791 7
Commission No.
(Seal) Commission No. 12, � f+,F . alyyComm.ExpiresApr13, 0
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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