HomeMy WebLinkAboutBuilding Permit app, pg 1All APPLICABV IN O MusT BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater 20 71Permit Number:
O
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: Interior Demolition
PROPOSED IMPROVEMENT LOCATION:
519 NW Winter Creek Road
Property Tax I D M 4422-81 G-0006-000-7 Lot No. G
Site Plan Name: Harbor Ridge -Plat 20-Lot C (or 1931-523:523:2760-312) Block No.
Project Name: Interior remodeling
I DETAILED DESCRIPTION OF WORK: 1
Kitchen remodel- Plumbing relocation, cut and infill of slab, electric[ relocation, minor interior frame
New Electrical Meter Second Electrical Meter
CONSTRL)CTION INFORMATION:
Additional work to be performed under this permit— check all that apply -
Mechanical _Gas Tank _Gas Piping
`SElectric Plumbing _Sprinklers
179Si'
Total Sq. Ft of Construction: ]2e('t sq K approx
Cost of Construction: $ 290,000
_ Shutters _ Windows/Doors _ Pond
Generator _ Roof Pitch
Sq. Ft. of First Floor: n/a
Utilities: Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Paul Harper JR)
Name:Pichard Adams III
Company:RA Construction Corp of the Treasure Coast
Address:1053 Brackening Road unit 7
Address:850 NW Federal Highway suite 226
City: Port Carling,ON DOB 1 JO Canada State: _
Zip Code: Fax:
Phone No.
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No 772260.8419
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Racon4@comcast-net
State or County LlcenseCGC 1520713
If value of construction is 2500 or more, a RECORutu notice or a.ommnn.c,..=• ,M.
if value of HAVC is $7,5W or more, a RECORDED Notice of commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER;
Name:
Not Applicable
MORTGAGE COMPANY, Not Applicable
Name:
Address; I—bQc, 'c_-roa s
Address:
City; $Lj <.Si HygEr-
Zip: .7L-r-7LfG Phone
State:
67- "-1 �S� st53
I City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name;
Address:
Address:
City:
city:
Zip: Phone;
I 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 recording; your Notice of.�Eommencement.
ignature of Own see/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLOR_ IDA
COUNTY OF
y
COUNTY OF Ac1�it�
Sworn to (or affirmed) and subscribed before
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Nota
Physical Presence or
Online Notarization
this _ day of 2024 b
this � day of Q4CX11
, 202111 by
Name o erson making statement.
Name of person making statement.
Personally Known OR Produced [den
Personally Known -1Z OR Produced identification
Type of Identification
'
Type of Identification
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Prod'f�d
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Produced
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PLANS
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MANGROVE
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COMPLETED
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