HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/21/2021 Permit Number: 5 8,3
27 dCUIC�Q1 -�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 APPLICATION FOR:Interior remodel
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Address: 1208 NW Winters Creek Rd. Palm City , FI. 34990
Property Tax ID#: 4423-701-0009-000-6 Lot No.5
Site Plan Name: Harboe Ridge Plat 17 tract G-10 And Pine Village Block No.
Project Name: Gary Remodel
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Interior only- Kitchen, Master&Guest Bedrooms, Master&Guest Bathroom Remodel
Plumbing &Electric updates-Drywall repairs as needed,Tile, Interior trim, Paint
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors —Pond
Electric Y Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: as exists Sq. Ft. of First Floor: as exists
Cost of Construction:$ 280,960.00 Utilities: _Sewer _Septic Building Height:
-�`�,"B.Y{■��j{. ,. r ram. ter^_-� sr �.r,.�rro !.3.-,,�� ..-��, - �k:.��- �.e��� _ :. �,
Name Robert& Leigh Garry Name:Ed Gribben
Address:1208'NW Winters Creek Rd Company:Dreammaker Bath and Kitchen
City: Palm City State:VL Address:6118 SE Federal Hwy j
Zip Code: 34990 Fax: City: Stuart State:FI
Phone No. Zip Code:34997 Fax: 286-2072
E-Mail: Phone No772-288-6255
Fill in fee simple Title Holder on next page(if different E-Maildave @dreammaker-stuart.com
from the Owner listed above) State or County License CGC1507879/St Lucie 23204
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:LlEN LAW INFORMATLON:. ;
...... .. ....:..
DESIGNER ENGINEER: —Not Applicable MORTGAGE COMPANY: X Not Applicable
Name:Dan Nuefle U_#szi46 Name:
Address:11634 SW Rowena sL Address:
City: Port SiLude State: e City: State:
Zip: 34987 Phone687.629-w75 Zip: Phone:
FEE SIMPLE TITLEHOLDER: 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 eicempt 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 A improvements to your property. 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 attorneybefore commencen work or r ordi our Notice of Commencement.
Signature of Owner/Le ee ontra or as Agent for Owner Sig ure of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA t
COUNTY OF M1 A IIAJ COUNTY OF N11A1Z'!�u
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
P sical Presence or�d Online Notarization P ysical Prese ce or.0_Online Notarization
thi da of Q��;L_ 2026 by thi day of i L 20�A1 by
3c�C F� r�►'a3�V p��'
Name of person makings tement. Name of person.making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identificat on
Rizoduced oduc
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( ignature of Nota P T St q�,Fjj gJ . (Signature of Not SIB mr t l)
Commlasian HH 110877 =.: .. CommMion#NH 110877
Commission No. "` " ceaMay� } Commission No. '+` •;>°``�reaMay8,211kal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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