HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION T0 BE ACCEPTED
Date:
Sffo ELunGHE
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Permit Number:
Building Permit Application
Planning and Development Services
Bij.Ild.Ing and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential X
PERMITAPPLICATION FOR:DEMO MISC INTERIOR
PROPOSED IMPROVEMENT LOCATION:
Address: 2109 NW GREENBRIAR LN PALMCITY, FL 34990
Property Tax lD #:4425-701 -0053-000-5
site plan Name: GREENBRIAR VILLAGE HARBOUR RIDGE -PLAT 2 UNIT 17 0R 3986-1098
Lot NO.
Block No.
Project Name: 2109 RROBINSON
DETAILED DESCRIPTloN 0F WORK:
DEMO OUT KITCHEN, FLOOR TILE BATH FIXTURES SOME DRYVVALL , H i sc. u.ALL a
E__i_ _ i) e„w_,'ey_4_
New Electrical Meter Second Electrical Meter
CONSTRUCTloN INFORMATION:
Additional work to be performed under this permit-check all that apply:
Mechanical GasTank Gas piping
Electric Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: S 4250.00
Shutters Windows/Doors Pond
Generator Roof
Sq. Ft. of First Floor:
Utilities: Sewer _ Septic Building Height:
OWNER/LESSEE:CONTRACTOR:
NamesTEPHEN ROBINSON
Address: 2109 NW GREENBRIAR LN
PALM CITY FL
34990 Fax: NA
Phone No. 302.598.536o
State:
E-Mail:SROBINSON@ROBGRYLAW.CoM
Fill in fee simple Title Holder on next page ( if different
from the owner
SHIRLEY A. S^UNIER
Name:ANDRE E. MICHELE
Company:AEM & ASSOCIATES LLC
Address:3 RIDGEWO0D CIRCLE
JUPITER
33469 Fax: NA
Phone No561.745.9591
state: FL
E_Mai|ANDRE@AEMANDASSOCIATES.COM
State or County LicensecGC 1525027
lf value of constructi
lf value of HAVC is S
of Commencement is required.
mmencement is required.SHIRIEY A, SAUNIER
;'.: MY COMMISSION # HH 0492sO
;.,i:f.f.tr``.- Bondca mruNotrypublleUndenwh
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DESIGNER/ENGINEER: Not Applicable MORTGA GE COMPANY: Not Applicable
Name:NA Name:NA
Address:Address:
City: State:City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name:NA Name:NA
Address:Address:
Cit.Cit.
Zip: Phone:Zip: Phone:
OWNER/ CONTRACTOR AFF lDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that no work or installation has commenced prior to the issuance of a permit.
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n consideration of the granting of this requested permit,I do hereby agree that I will, in all respects, perform the work
n accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following bui ding permit app ications are exempt from undergoing a full c oncurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another nan-residential use
WARNING TO OWNER: Your fajlure to Record a Notice of Commencement may resu t in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the publi c records of St.
Lucie County and posted on the jobsite befcire the first inspecwithleode'roranattorneybeforecommencingworkorrecor
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Name of parson making statement.Name of person making statement.
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Type of Identification Type of lde ntification
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