HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential X
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Haaress: !14vv aedyidss ur, r-aim city t-L
Property Tax ID #: 4426-805-0022-000-1
Site Plan Name: HARBOUR RIDGE
Project Name: Breisch Remodel
DETAILED DESCRIPTION OF WORK:
Lot No.37S
Block No. 40E
Install new kitchen, baths, new shower valves, move master toilet location 6 feet, cut concrete for island kitchen sink,
run electric to island, move any existing electric for removal of non -bearing wall,
install new flooring, paint, tile
New Electrical Meter Second Electrical Meter
LCONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical Gas Tank
Electric _Plumbing
Total Sq. Ft of Construction: 1,700
Cost of Construction: $ 65,000.00
_ Gas Piping
Sprinklers
Shutters — Windows/Doors Pond
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
Name Josiah&Deborah Breisch
Address:2249 NW Seagrass DR
City: Palm City FL
State: _
Zip Code: 34990 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Jeffrey Walsh
Company: Liberty Impact Windows and Doors
Address:257 SE Monterey Road East
City:Stuart
State: FL
Zip Code: 34994 Fax:
Phone No772-444-7112
E-Mail
State or County License CGC 1528257
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: FL
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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 OWNERr failure to Record a Notice of Commencement may It in paying twice for
improvements toroperty. A Notice of Commencement must be ecor d in the public records of St.
Lucie County andon a jobsite before the first inspection. If y u inten btain financing, consult
with lender orAn a efo ommencin work or r ord ou Notice'mmencement.
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caner Less ntractor as Agent for Owner
SI ontract icen der
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