HomeMy WebLinkAboutBuilding permit app SCqAl
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �('�
Date: 10-12-20 Permit Number:,�J 15:J Oq 0
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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
Address: 8529 Belfry PI, Port St Lucie
Property Tax ID#: 3327-701-0051-000-7 Lot No.48
Site Plan Name: The Reserve Block No.
Project Name:
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Bathroom Renovation: Relocate non-load bearing partitions, replace tile, cabinets,fixtures.
waty try VCL
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 _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 25000 Utilities: —Sewer —Septic Building Height:
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Name Janice L&Tom R Smith Name:Joe Zangre
Address:8529 Belfry PI Company:The Z Group,LLC
City: Port St Lucie(PGA) State: PI- Address:2586 SE Stonebriar Way
Zip Code: 34986-3022 Fax: City: Stuart State:FL
Phone No. Zip Code: 34997 Fax: 772-286-7152
E-Mail: Phone No 772-546-7669
Fill in fee simple Title Holder on next page(if different E-Mail zgroupllc@bellsouth.net
from the Owner listed above) State or County License CRC017467&CBC1261014
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: x—Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: 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 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 angirney 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 FLORIDA
COUNTY OF_ L —ct- .— COUNTY OF Mh '(-70
Sworn to(or affirmed)and subscribed before me of Sworp to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization ✓Physical Presence or Online Notarization
this .3C)day of ()Ce4t 2020 by this /2 day of Oc f 12020 by
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Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced_ [_' .0 C Produced
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(Signature of Notary Public-State of Florida) (SigflatAre of Notary Publ' State Flg�1d&,J GERTRUDEZACCAI
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