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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COIVIPLETED FOR APPLICATION TO BE ACCEPTED Date: sffo ELca@HE -h Permit Number: p E © B I ® ffi`-~ Building permitApplication Plann-Ing and Development Services Building cind Code Regulation Div.Ision 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERM IT APPLICATION FOR: [ r^r`l--'h'6E ^E|B -"" ' r"-' ^5§EB r`eFie' |NEWKITCHEN AND MASTER BATH SurrE PROPOSED IMPROVEMENT LOCATION: Address: 2109 NW GREENBRIAR LN PALM CITY, FL 3499o Property Tax Site Plan Project iD #: 4425-701-0053-000-5 Name: GREENBRIAR VILLAGE HARBOUR RIDGE -PLAT 2 UNIT 17 0R 3986-1098 Name: 2109 ROBINSON Lot No. Block No. DETAILED DESCRIPTION OF WORK: Cj>dyt/€e 7' fcG"/ if,'~6£€ 4k7fj/ I;y7o 7cco, INSTALL NEW KITCHEN AND MASTER BATH SUITE 4Z)P P.u.oCZ~ R.^mi! , ___IA_sJ_a,d£_ _ _4!_I_ue__r_4_2_A_a_I-_S±1D!E± New Electrical Meter Second Electrical Meter CONSTRUCTloN INFORMATloN: 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 125,000 Shutters Windows/Doors Pond Generator Roof Sq. Ft. of First Floor: Utilities: Sewer _ Septic Building Height: OWNER/LESSEE:CONTRACTOR: NamesTEPHEN ROBINSoN Address:2109 NW GREEBBRIAR 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 li lf value of constructi lf value of HAVC is $7 SHIRLEY A. SAUNIER Name:ANDRE E. MICHELE Company:AEM & ASSOCIATES LLC Address:3 RIDGEWOOD CIRCLE JUPITER 33496 Fax: NA Phone No561.745.9591 state: FL E_MaiiANDRE@AEMANDASSOCIATES,CoM State or County License 1525027 f Commencement is required mencement is required.:...: My ##%i%NS£#'Eo4P92co ' atP RT AGE COMPANY: Not ApplicableDESIGNER/ENGINEER: Not Applicab e N N a in e : suMMiT DEsiN & FORENsics iNc.me:dresy: • 725 SE PORT ST LUCIE BLVD SUITE 203 ACZi S: city: pORTSTLiclE, state: FL State:I zip: 34984 phone 772.2s5.0572 Phone: FEE SIMPLE TITLE HOLDER: Not Applicab e B0NDING COMPANY: Not Applicable Name.N- Address:Address. City.C it. 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. !tifccu[cj:#:n:t!:!:w:,:ti,:a3wi,eahppryFju:ran#:tLfi:5h;ai|isgiars!st;:,!aotaf;pan?,:o:n:trru!;#yr:o!szi:te:d#a#;e:sltgr,tcrht:3n?ua#ri:i:*sc:t;ga::p;r,3yttriubilusruech ln consideration of the granting of this requested permit,I dct 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 WAFmN|¥oGv:3e°n¥t:Ry:oYu°ruprrfoa;I:ieyt.°ARfico°t{geaoNf°ct:C:°infecn°cme#:nncte#:::FeaYer:::!te`:Pna¥LnegS##::cordsofst. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult our Notice of Commencement.er or an attorne before commencin work or recordi-__`___ :-+ f ,,.'--,;:,:.:-,-,,:i ` ;;:i:N:#F:F:LWon:,r;LAei;/C°\:t:I:;~\as:entforowner Signature of Contractor/License Holder STATE OF FLOR'Dfch_, .LLlchj t~'COUNTYOF Sworn to (or affirmed) and subscribed before me of ¥Hs`d:aray,aoFfl:::r:i::!r:subscr:bn::n:ef:rt:rTz:t::nj\b`A\~e3Eti\\N`\d\TefgbL£\#j¥S#':freKn=ur9\r\ °n",n.ae±ab£:t'°ni,---.-.-.-.-`..--.---:-.-_-I--.-=_.-_-i: Name of parson making statement.Name of person making statement. PersonaHyKnownJ4oRproducedldentification PersonaHyKnown±ORproducedldentification Type c)f Identification Type of ldentificatio nP%fucfrTh^y\`rfumuTb Produced ----. `_``` `:.``` ,`` -i-- --.-::.``. `-` ``.,-_: (Signature of Nota ypublic-State of Florida ) _ _ _ ___._(STEnature of Not r JJijbljc-State of Florida I comm,sslonNoth]:;|iffi#ng.Myrmqu¥ou¥¥¥[E±2i ommission No.:..`S!`.Sirty.:.:s w csOHtRMiRE#iEOR492cO ;..?j8ffigi{-`: a EXPIRES: Jarty 3t. 2o25. REVIEWS 11_ -`.,:FRONT T`i.\' t"l,hl ,I,V|` __ -'`._ `` ` --i PLANS 11.......`--------`,`.-``--, ,'~ y'`v-I-''`''' [1 ZONING SUPERVISOR VEGETATION SEA TU RTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATERECEIVED DATECOMPLETED