HomeMy WebLinkAboutPermit Application 7404 Deer Park Dr All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/03/2020 Permit Number:
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: Master Bath Renovation
PROPOSED IMPROVEMENT LOCATION:
Address: 7404 Deer Park Ave., Fort Pierce, FL 34951
Property Tax ID#: 1301-605-0031-000-0 Lot No.5
Site Plan Name: Block No. 41
Project Name:
DETAILED DESCRIPTION OF WORK;
Full bath renovation, including ceiling light installs, receptacle relocation,vanity install, shower valve install, —
culture marble shower walls and base,toilet install,and paint. Relocate hot water heater and turn electrical panel 180 degrees.
See provided invoices for complete scope of work.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical —Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
X Electric X Plumbing _Sprinklers _Generator 'Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 31,860.52 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Gavin Poole Name:David"Harley"Van Ginhoven
Address:7404 Deer Park Ave. Company:D C Construction&Company, Inc.
City: Fort Pierce State: FL Address:1916 21st Ave.
Zip Code: 34951 Fax: City: Vero Beach State:FL
Phone No.(240)447-8049 Zip Code: 32960 Fax: (772)567-4237
E-Mail:fairwindchix@protonmail.com Phone No(772)360-8571
Fill in fee simple Title Holder on next page(if different E-Mail harley@ibuildwithcare.net
from the Owner listed above) State or County License CGC1507644
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 attorney before commencing work or recording our Notice of Commencement.
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nature of Owner/Lessee/Contractor as Agent for Owner Signatu o Contractor/license Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF '�06 r�k U,&. �Q COUNTY OF .J 1"4,4_ s v c r
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this jt day of Qm bQa' ,2020 by this day of Alizoe,kA AP r 2020I 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 ZjA,�Ijx Produced
Timothv Allen Brook
(Signature of Notar (Signature of Notary Public-State o
UBIO NOTARY PUBLIC
i MY COMM I�#GG 343783 _ TATE OF FLORID
Commission No. e.; j Commission Noc�L4 G
EXPIVIA 26.2023 omn*GG242011
°.. BondedTWUNotaryPuMunae,mbm Expires 9/8/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.