HomeMy WebLinkAboutBuilding Permit ApplicationAli APPLICABLE INFO MUST I1601VIKE ED FOR APPUCATION TO BE AOTED
paw• May 3rd 2021 Permit Number:
I'M
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V ` : a , . M Building Permit Application
Planning and DftW0PnVntSer%tes
&hiding and Code ReWlato" Oivlsion Commercial Residential X
ZM Virginia Avenue, Ford pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-2578
PERMIT APPLICATION FOR: ,
Address: 3407 Bent Pine_ Drive FortPierce Florida 34951
Property Tax it) #- 1327-801-0029-M-5
Lot No. 2�
Site Plan Name: Porch Er1dOSUre Block No.
Project Name: Denmon Renovation
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
_- _ Plumbing
— Sprinklers
` Generator
Roof
Pitch
Total Sq. Ft of Construction- 150 sq ft Sq. Ft. of First Floor:
Cost of Construction: $ 18,000.00 Utilities: _ Sewer _ Septic Building Height: 10
Name Richard and Sherry Denmon
Address:3409 Bent Pine Drive
City. Fort Pierce - State:
Zip Code. 34951 Fax:
Phone No. 772-216-2168
E-Mail: fden@atLnet
Fill in fee simple Title Holder an next page (if different
from the Owner listed above)
Name.- Michael Zabitosky
Company: Zabitosky Constnrction LLC
Address: 57410th Avenue
city: Fero Beach State: FL
Zip Code: 32962 Fax:
Phone No 772-528-1760
E-mail mzabitosky@gmaii.com
State or County license CGC1516213
a vaswo v" cw9mAm i a vmr or more, a RECORDED Notice of Commencement is required.
if value of HAVC Is $7,M or more, a RECORDED Notice of Commencement is required.
Not
Name: !ls. nh % &w A
Address: 700 Mond Pbw
City: %%M Beach State: FL
Zip: 32M Phone 772-m6-7=
FEE SIMPLE TITLE HOLDER: Not Applicable
Name- WA
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name: NIA
Address:
City State:
Zip: Phone:
BONDING COMPANY: —Not Applicable
Name: N/A
Address. -
City:
Zip: Phone -
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.'
1 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 rmit holder to build the subject s�r�cture
which is in qan iict with anY applicable Home Owners Association rules, bylaws or anrcovenants 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, l 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 twke 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 attnmpv hpfnro rnrnm anrrner uinr4 „r rai+�r�l:.... • �I..�:......t / ..
-- -- -------------•-. �-�••.
v •vvV•V••■- VV• •�V 4Y�. V4Vt\t{-..{•Gf/Gi•
gnature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contratt&/ticense4iolder
STATE OF FLORID1
COUNTY OF
STATE OF FLORIDA /�
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COUNTY OF Xn L an
Sworn to (or affirmed) and subscribed before me of
K PhVsical Presence or Online Notarization
Swap to (or affirmed) and subscribed before me of
V Physical Presence or Online Nqurization
this r-_ day of XQAd , 20,20 by
this 13 day of 202by
�a b ► -sue
Nameerson makingstatement.
Name Name of person making statement.
Personally Known _ OR Produced identification
Personally Known Z OR Produced Identification
Type of Identification
Type of identification
Produced
Prod jeed
Sign re of to ubiic- S XIda) JENNIFER J WOODS
'gnature Notary Public- State
P"%
MITCHE.;Notary
AP-`"" j1NIFER
y COMMISSION GG2713
Comm#ssion No. 02/ Imo%
October 30, 202
Public • State of Florida
°' ��Egrssior : GG 357t96
ommission No. ,s719 ''�,> "�t77"nlw•PIRES
�oFFl.�••••
M m Expires Jul 22. 2023
REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW, :
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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