HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
�. OkDate: Permit Number: ��
RECEIVED
Building Permit Application
MA Y 0 5.2021
Planning and Development Services ,
Building and Code Regulation Division Commercial Residentta'ig-t6,9 Department
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:Bathroom renovation
Address: 8024 Kiawah Trace,Port St Lucie FL 34986-3023
Property Tax ID#: 3327-705-0017-000-9. Lot No.16
Site Plan Name: POD 25 At The Reserve Block No.
Project Name:
avow=__
Replace all fixtures,tile and cabinetry in master bathroom. Some minor non-toad bearing partition work.
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: 272 Sq ft Sq. Ft. of First Floor: NA:
Cost of Construction:$ 25000 Utilities: —Sewer, —Septic Building Height:
NUM
Name Marcus&Constance Johnson Name:Joseph Zangre
Address:8024 Kiawah Trace Company:The Z Group, LLC.
City: Port St Lucie State: Address:2586 SE Stonebriar Way
Zip Code: 34986 Fax: City: Stuart State:FL
Phone No. Zip Code:,34997 Fax: 772-546-7669
E-Mail: Phone No 772-546-7669
Fill in fee simple.Title Holder on next page(if different E-Mail zgroupllc@bellsouth.net
from the Owner listed above) State or County License CRC 017467
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If-value of HAVC is$7,5W,jor more;a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: X Not ApplicableIA7ddress:
E COMPANY: Not Applicable
Name:
Address:
City: State: City: State:
Zip: Phone 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 attorney before commencing work or recording our Notice of Commencement.
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Signature of. a Lessee/Contractor as Agent for Owner Signatur Contractor/Licen er I
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5� LvC'�� COUNTYOF
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this /0 dayof #PrZic- 2020 by this%o day of 9-P2 2020 by
/yyj•;�Yt c✓s c/ �/►-r�:S� f- �y S-�i�� Z.brr�/•e .
Name of person making statement. Name of person making statement:
Personally Known c/ OR Produced Identification Personally Known &___ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Sig6atgre of Notary Publ' - tate of Florida) (Signs re of Notary Pub. State of Florida)
Commission No. G G 7-11 y ) (Seal) Commission No.AX
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