HomeMy WebLinkAboutBuilding permit applicaitonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1018/2020 Permit Nu -nber:
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° '7.. --- Building Permit Application
Planning and Development Services
Building and Code Regulation Dwision Commercial _ Residential
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-15S3 Fax- (772) 462-1S78
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FPERMIT APPLICATION FOR:DONALD AND ELIZABETH MAGNUSON
-- _ _
a PROPOSED IMPROVEMENT LOCATION;
Address: 10 LAKE VISTA TRAIL UiNi i_' 37 PORT SAINT LUCIE FL 34952
Property Tax ID #: 3422-500-0133-000-1
Site Plan Name: _
N
Lot No. —
Block No.
Project ame. -. -
DETAILED DESCRIPTION OF WORK:
INNTALLING A NEW MOEN POSITEMP MIXING VAVLE AS WELL AS REM01 ING EXISTING FIBERGLASS
SHOWER UNIT AND INSTALLING A NEW ACRYLIC SHOWER BASE
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
Electric — Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 7025.00
— Sprinklers _ Generator _ Roof _ Pitch
Sq. Ft. of First Flour:
Utilities: —Sewer _ Septic Building Height: __..
F EPEE: CONTRACTOR:
Name DONALD & ELIZABETH MAGNUSON Name-SCOTT ARNER _
Address:10 LAKE VISTA TRAIL UNIT 107 I company: BATH FITTER SOUTH FL LLC
City: PORT SAINT LUCIE State: _ Address:2701 VISTA PARKWAY SUIT A3
Zip Code: 34952 Fax: City: WEST PALM BEACH _ State: FL
Phone No. 772-340-7445 _ Zip Code: 33411 Fax: 561-689-2816
E-Mail: Phone Na
561-3: i3-3101
Fill in fee simple Title Holder on next page (if different E-MailcmooreGbathfitter.com
from the Owner listed above) State or County LicenseCFC1426391
If value of construction is 2500 or more, a RECORDED Notice of Commencement is r aquired.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is requir ed.
M nNSTRUCTION LIEN LAW
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DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone:_
INFORMATION:`'
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: F hone:
Not Appiicable
State:
Not Applicable BONDING COMPANY- _Not Applicable
Name:
Address:
City:
Zip: F hone:
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 per -nit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and cc venants 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 ,kmendments.
The following building permit applications are exempt from undergoing a full concurren :y review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory ises to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement rr ay result in paying twice for
improvements to your property: A Notice of Commencement must b� recorded in the public records of St.
Lucie County and posted on the iobsite before the first inspection. If ti ou intend to obtain financing, consult
.,.4h inr%rlor nr nn nttnrnpw hpfnra rnmmpnring wnrk nr recording v?at r Notice of Commencement.
ig na ffrghf Owner se"e/C Gnilqtf6r as Agent for Owner
Sig ature of Contra :tor/Lice a Holder
STATE OF FLORIDA d
STATE OF FLORA]
COUNTY OF _ _ 0
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COUNTY OF C I
Sworn to (or affirmed) and subscribed before me of
i
Sworn to (or affirm sd) and subscribed before me of
Physical Presencq or Online Notarization
Physical Pres n e o Online Notarization I4
this day of /Z1e�r'��[�- 2020 by
this Z day of) 2020 by I
Name of person making statemef&
Name of person m; eking statement.
Personally Known OR Produced Identification X
Personally Known _�_ OR Produced Identification
Type of IdiepKication
Type of identificati -)n
Produced
Produ d
Ulu-
(Signature of Notary P c- S t f r'
Signature of NotiEry P ic- State of Florida )
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REVIEWS
FRONT
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SUPERVISOR PLANS VEGE fATION
5E
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COUNTER
REVIEW
REVIEW REVIEW REVIEW
REVIEW
REVIEVT
PATE
RECEIVED
DATE
COMPLETED
Rev. 5/5/20