HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
n r
Ilo LSI�.I�llL
R+,] 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 APPucATION FOR: Kitchen remodeling and bathrooms refresh
PROPOSED IM; ` OVEMENT LOCATION:
Address: 126 N LAS OLAS, JENSEN BEACH, FL 34957
Property Tax ID #: 4511-500-0022-000-6 Lot No.
Site Plan Name: Block No.
Project Name: 126 LAS OLAS
DETAILED DESCRIPTION OF WORK:
1) Kitchen: Cabinets, non -load wall removal, ceiling lightning & plumbing copper being replaced by CPVC
2) Bathrooms: Vanities, ceiling lightning/fan, tiling & plumbing remaining copper being replaced by CPVC
3) Others: Paint, laminated flooring, interior doors & trims paint/replacement
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
Electric Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: no change Sq. Ft. of First Floor: see attached floor layout dwg
Cost of Construction: $ 2000.00 Utilities: —Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name:
Name Sylvain Ouimet
Address: 2087 Roi-Charles Blvd
Company:
City: St -Jerome, Quebec, Canada State:
Address:
_
Zip Code: J5L1S3 Fax:
City: State:_
Phone No. 514-602-9849
Zip Code: Fax:
E-Mail: sylvain_ouimetcga@yahoo.com
Phone No
Fill in fee simple Title Holder on next page ( if different
E-Mail
from the Owner listed above)
State or County License
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/�GINEER:
Name: NOL LQ
_ Not Applicable
�j,ij� -it299
MORTGAGE COMPANY:
Name:
Not Applicable
Addre 11119 SL.� 131I
TAA.i r ¢T µ llr/
Address:
City: toerState:
Zip: 2L14Ry Phone -172
_ L
-7 r- 4 09R
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
-Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
vwrvcry Lvn1 I KA4-I UK AFFIUV I I: 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 au applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult w th 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 pfoperty. 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 commenddine work or recordine vour Nntica of rnmmanramant
7,mature oT vwnert � esree/wntractor as Age for OMI
CSTATE -MM6FA'
COUNTY OF rea>G L
Swor to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 2i0'1day of 2020 by
A0 �es,���I ois podv /10t ,
Name of person making -statement
Personally Known roduced Identification
Type of Identifica ion
Produced 6
(Signature of Notary Public- State of Florida )
Commission No. irt. (Sea!)
dl A —
Signature of Contractor License Holder
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or_ Online Notarization
this _ day of. . 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
a.,
......-,-,--