HomeMy WebLinkAbout20210112_Building Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
L�l�Il1l.L1�'
I L 0t` ` L) tt `"- 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: KITCHEN RENOVATION
PROPOSED IMPROVEMENT LOCATION:
Address: 3215 S. LAKEVIEW CIR. UNIT #12-105, FT PIERCE FL 34949
Prnnertv Tax ID #: 1425-605-0077-000-5
Site Plan Namp:
Prnied Name, 3215 S. LAKEVIEW CIR UNIT #12-105 KITCHEN RENOVATION
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
REMOVE AND REPLACE KITCHEN CABINETS. REMOVE AND RE -INSTALL ELECTRIC OUTLETS.
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: 100 Sq. Ft. of First Floor: 1232
Cost of Construction: $ 10000 Utilities: _Sewer _Septic Building Height: 8 FT.
OWN ER/LESSEE: HILDA VIOLETA HOLGUIN
CONTRACTOR: CONFORTBUILDERS, LLC
NameHILDA VIOLETA HOLGUIN
Name:ALBERTO MUNOZ
Address:15783 SW 139th ST.
Company:CONFORT BUILDERS, LLC
City: MIAMI State: _
Zip Code: 33196 Fax:
Phone No.
Address:393 NW STRATFORD LN
City: PORT ST LUCIE State: FL
Zip Code: 34983 Fax:
Phone N0772 224 9110
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailCOBUILDERSI5@GMAIL.COM
State or County License CGC1 505564
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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 Countyy 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 adtornev before commencing work or recording your_Notice_gf Commencement.
I / / __/_(G__4 I l// 77�7// .�
re of Owner/'Lessee/Contractor as Agent
STATE OF FLO�kQA j
COUNTY OF
Sw n to (or affirmed) and subscribed before me of
ysical Pre nce or Online Notarization
this day of OR by
/t-1 r fry, ./G t 2�'
Name of person making statement
Personally Known OR Produced Identification
Type of Identi tion C/
Produced
nature o o Public- Statq,pf❑ Iorida )
Joseph Golne;
Commission No. 61w6ict ,* ,eJ4n1MiSSion # 1313161�
Expires: November 16,1
REVIEWS I COUNTER ZONING
W SUPERVISOR REVIEW
FRONT I
Holder
STATE OF FLORIDA
COUNTY OF r,
!Sw to (or affirmed) and subscribed before me of
ysicaI Presence or_ Online Notarization
this I Zi day of 2RZO by
.14f,L J"luno _
Name of person making statement
Personally Known OR Produced Identification
Type of Identific ion
Produced
(Si atur of No Public- State of Florida )
7
kV, P'o
mission No.&a*Seph
Commission
REV ENS W I VREV EWON I SEAS EWLE VVI4WAWCE�W
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
the
('type
Name)
for
(Primary Contractor)
For the project located at ?j Z / S 5 4r, -y/F4,- G/Z / 2-
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
!CONTRACTOR SIGNATURE(Qualifier)
g L �J�Lcr�y A'0 Z
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Flarlds, County of
The foregoing instrument was signed before me this _ day of
by
who is personally known _or has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
Revised 11/16/2016
$tsB- RACTOR SIGNATURE (Qualifier)
C4F4arz
PRINT NADIE
l3dU�7
COUNTY CERTIFICATION NUMBER
,,/p(%
State of Florida, County of b s "s
The foregoing instrument was signed bef a mo this _ do of
20- , by L 2G
who is personally known A -or nos produced a
STAMP
JOUSERTPIERRE
_g. ` MY COMMISSION # HH 026631
'•,y p EXPIRES!Augusl2,2024
%'tT_f, ?e: Bonded Thm Notary PubOc UM..K.