HomeMy WebLinkAboutPERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
SM.
941,41#01
X
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: SFR RENOVA�-ION
PROPOSED IMPROVEMENT LOCATION:1618 NW BUTTONBUSH CIR
Address: 1618 NW BUTTONBUSH CIR, PALM CITY FL 34990
Property Tax ID #: 4426-840-0004-000-8
Site Plan Name:
Project Name: SENN RENOVATION
DETAILED DESCRIPTION OF WORK:
KITCHEN, DINING AND BATHROOM RENNOVATION TO INCLUDE:
RECONFIGURE SPACE, MOVE A INTERIOR AND EXTERIOR WALL
REMOVE/REPLACE: WINDOWS, PLUMBING AND ELECTRIC
New Electrical Meter NA Second Electrical MeterNA
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
-Mechanical _Gas Tank _ Gas Piping _ Shutters
ZElectric VPlumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 175,000
Sprinklers Generator
Lot No.3
Block No,
V Windows/Doors Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
Name LAURENCE & KATHARINE SENN
Address:1618 NW BUTTONBUSH CIR
City: PALM CITY State: F_L_
Zip Code: 34990 Fax:
Phone No. 772-343-9912
E-Mail: krsenn@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR: ��9
Name: ROBERT CENK
Company: HOMECRETE HOMES INC
Address:2162 NW RESERVE PARK TR
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax:
Phone N0772-873-6707
E-Mail MSHOWMAN@HOMECRETEHOMES.COM
State or County LicenseCGC062378
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: WHOLE HOUSE ENGINEERING --
Name:
Address:4451 ST LUCIE BLVD SUITE 201 Address:
City; FT PIERCE State: FL City: State:
Zip: 34945 Phone772-409-1003 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 br and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your eed for any restrictions which may apply,
In consideration of the granting of this requested permit, I do hereby agree that�l 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 co currency 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 i tion. If you intend to obtain financing, consult
with lender or an attorney before commencing work orXecoilding your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signatu64 of !Contractor/License Holder
STATE OF FLO A STATE yF FLORIDA
COUNTY OF �.c�ciP . COUNTY OF-n-t
�Sw rn to (or affirmed) and subscribed before me of Swor or 'affirmed) and subscribed before me of
Phy ical Prese ce or Online N tarization P al Presence or Online Notarization
this dayof ri 20z� by this ay of 202f by
Name of person making statement. Name of person making statement.
Personally Known X— OR Produced Identification Personally Known V OR Produced Identification
Type of dentification Type of Identification
Produ a Produced]
1--T� 'e,*,,;-, "�� C-A,
u of o Public- F or'da Si nat r of Notary Public- ftate of F
. c�Y °�e . SHIRLEY LITTLEFIELD � �.►� r� Notary Public St
Commissio o. LL° o mis i n No. c�9'ts� I Melissa D Shc
L .a .e�l)tary Public -State of FI i�a N MY Commission
Commission 9 GG 34525oFn Expires 01/24/2i
aFrti° ` My Comm. Exniraa 1 11 n-,�
ounaeo t rough National Notan Assn.
REVIEWS FRONT PERM NS I VEGETATION SEA TURTLE MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED