HomeMy WebLinkAboutZammit Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
1�r ELMER
L Budding Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
InteriorPERMIT APPLICATION FOR: ••e
Address: 12478 Harbour Ridge Blvd. Palm City, FI. 34990
Property Tax ID #: 4426-510-0018-000-5
Site Plan Name: Riverside Village
Project Name: Zammit Remodel
Lot No.
Block No.
Kitchen, Laundry, Breakfast,Sun room, Dining, Master Bath Remodel/Remove non -bearing wall betwwen kitchen& dining
Add/ delete / update or relocate Can lights, switches,outlets,ceiling fans, appliance circuits per plan. Update Plumbing
fixtures in same areas - SEE ATTACHED SCOPE OF WORK LETTER FOR COMPLETE DETAILS
New Electrical Meter Second Electrical Meter
C�NSTRUCTIC}N INFCiR�AT)C�N:
Additional work to be performed under this permit— check all that apply:
_Mechanical
_ Gas Tank
_ Gas Piping
_ Shutters
_ Windows/Doors
_ Pond
Electric
X Plumbing
_ Sprinklers
_ Generator
_ Roof
Pitch
Total Sq. Ft of Construction: as Exists
Cost of Construction: $ 198,000.00
Name Valentine Zammit
Address:12478 Harbor Ridge Blvd
City: Palm City
Zip Code: 34990
Phone No.516-650-6822
Fax:
State:
Sq. Ft. of First Floor: as Exists
Utilities: —Sewer _Septic Building Height:
E-Mail: valzammit@aol.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Ed Gribben
Company: Dreammaker Bath and Kitchen
Address:6118 SE Federal Hwy.
City: Stuart State: FI
Zip Code: 34997 Fax: 772-286-2072
Phone No 772-288-6255
E-Mail dave@dreammaker-stuart.com
State or County License CGC1507879
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: Not Applicable
Name: DONNUELLE
Name:
Address: 11634 RowENA STREET
Address:
City: PORTSTLUCIE State: FL
City: State:
Zip: 34987 Phone 561-629-6975
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
BONDING COMPANY: 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 len er or an attorney before commencing work or recoroing, your Notice of Commencement.
Signature of ntractor/License Holder
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF MARTIN
COUNTY OFmARTIN
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
XX Physical Presence or Online Notarization
this 21ST day of MAY 2020 by
this 21ST day of MAY 2020 by
ED GRIBBEN
ED GRIBBEN
Name of person making statement.
Name of person making statement.
Personally Known xx OR Produced Identification
Personally Known xx OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary P
DAVE D. 1 ELLI
(Signature of N
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Commis��On # H 110677
Commission No. =t: Expires ��025
Commission No
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