HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE M.r—FETED FOR APPLICATION TO BE ACCEPTL_ j
Date: c? / Permit Number: a \ 0 `((�'j
065
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercia _ Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT"LO.CATION
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Address: 13450 Harbour Ridge BLVD 1A
Property Tax ID #: 4436-605-0025-000-9
Site Plan Name: Palmetto Village
Project Name:
DETAILED DESCRIPTION OF WORK:.. "
Remodel Master Bath, Guest Bath, and Kitchen
Minor Electrical, Plumbing
New Electrical Meter Second Electrical Meter
CONSTRUCTION "I N'FORMATION:
Lot No.
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric X Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 1700 Sq. Ft. of First Floor:
Cost of Construction: $ $53,000.00 Utilities: ,,Sewer — Septic Building Height: 1
OWNER/LESSEE:
CONTRACTOR:
NameJim and Sue DiMilia
Name: Ron Smith
Address:7452 Fox Hill LN
Company: Consolidated Building Corp.
City: Northville, MI State:
Address:7805 SW Ellipse Way A-11
Zip Code: 48168 Fax:
City: Stuart State: FL
Phone No. Jim 248-921-2082
Zip Code: 33497 Fax: None
E-Mail:None
Phone N0772-215-3690
Fill in fee simple Title Holder on next page (if different
E-Mailtodd—first@yahoo.com
from the Owner listed above)
State or County LicenseCGC053480
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: X Not Applicable
Name: Braden and Braden Achitects
Name •
Address:417 CownutAve
Address:
City: Stuart State: FL
City: State:
Zip:34996 Phone772-2e7-8258
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 attornev before commencine work or recordine vour Notice of Commencement.
Signature o wner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORI
STATE OF FLORIDA
COUNTYOF M14-6
COUNTY OF IVtA.rI V'%
Sworn to (or affirmed) and subscribed before me of
Physical Presence Online Notarization
Swo to (or affirmed) and subscribed before me of
Physical PreOnline Notarization
or
this �,,Q day of M nt .�'C . 2026 by
se ce or
this - day of 2M by
�tnal
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
Produced, 9�
JL /1�-u
`
(Si nature of NotaryPublic tad o FICtQWiPy)Publi° State of Florida
1c State of
(Signature of Notary Publi - t F ° M Matuszek Florida
a� Kimb��errl��ynt M Matuszek
Commission No. �10 E> R13'OB�10212023 340�9
My Commission GG 340549
ommissi0 o. �o.�►d� Expirtr,"Y12023
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