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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date : Permit Number : M ILL VL � � © U v > V` OT p U Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial x Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone : ( 772 ) 4624553 Fax : ( 772 ) 4624578 PERMIT APPLICATION FOR : Doris L . Gracia PRO"POSED � 111/IPROU% _ EME'NT LOCATION : Address : 9550 S . Ocean Drive , Apt. 109 Property Tax ID # : Lot No . Site Plan Name : Block No . Project Name : Bathroom tub to shower DETAILED DESCRIPTION OF WORK : Remove old shower pan and install new drain and Wedi shower system . New Electrical Meter Second Electrical Meter CONSTRUCTI% .C) N INFORMATION : 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 : $ 2 , 000 . 00 Utilities : _ Sewer _ Septic Building Height : OWNER/LESSEE: 1 1 CONTRACTOR : Name Doris Gracia Name : Cecil Lee Marion Address .- 9550 S . Ocean Drive , Apt . 109 Company : Pipe-Connection , Inc . City : Jensen Beach State : _ Address : 2501 SW Baer Street Zip Code : 34957 Fax : City : Port St . Lucie State . FL Phone No . Zip Code : 34953 Fax : E - Mail : dorisgracia@hotmail . com Phone 1\10772-919-2757 Fill in fee simple Title Holder on next page ( if different E - Mail PIPECONNECTION@YAHOO . COM from the owner listed above ) State or County License26311 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: _ Not Applicable MORTGAGE COMPANY : — Not Applicable Name : Name : Address : Address . City : State : City : State : Zip : Phone Zip : Phone : FEE SIMPLE TITLE HOLDER : J Not Applicable BONDING COMPANY: 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 irst inspection . If you intend to obtain financing, consult with lender or an attorneybefore co m n " w k or recordingour Notice of Commencement . � N � Z o N in 0 C! (6 C4 x / v LLJ Sign , t wner/ Les ee/Contractor a gent f rir�, N Signature of Contractor/License Holder ) J 'C o E STATE OF FLORIDA uJ U. .N E a STATE OF FLORIDA T � . COUNTY OF - COUNTY OF ` pcN 'S N Sworn�o ( or affirmed ) and subscribed before me " G Swor ( or affirmed ) and subscribed before me f & N lOPhysical Presence or Online Notarizati n , ' � % Physical Presence or Online Notariza d.= o N this day of 2020 by =4 s - thip �` day of �l j1 uc'rzh<� . 2020 by D L E N c, a- f- E `n . 5 �.�� C eve' Z7 w Name of person making statement. / Name of person making statement. z m w Personally Known OR Produced Identification y Personally Known OR Produced Identifi Type of ldentifica�n� Type of Identification Produced f --� 2-- Produced r ( Signature PNotary Public- State of Florida ) ( Signature of Notary Public- State of Florida ) Commission No. 1b2P , (Seal ) Commission No. (Seal ) REVIEWS FRONT ZONING SUPERVISOR PLANS, VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.