HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/6/2021 Permit Number:
az' L Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XXX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1SS3 Fax: (772)462-1S78
PERMIT APPLICATION FOR: Demo
PROPOSED IMPROVEMENT LOCATION:
Address: 12414 Harbor Ridge Blvd Palm City FL 34990
Property Tax I D#: 4426-807-0045-000-4 Lot No.
Site Plan Name: Turner, Kathleen Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove existing cabinets, counter top,flooring &shower wall tile.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
I
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: 1,000.00 _ Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name John A Turner&Kathleen H Turner Name:Jeffrey Walsh
Address: 12414 Harbor Ridge Blvd Company:Liberty Home Builders
City: Palm City State:F L Address:257 SE Monterey Road East
Zip Code: 34990 Fax: City: Stuart State:FL
Phone No.610-662-4005 Zip Code: 34994 Fax:
E-Mail:N/A Phone No772-444-7112
Fill in fee simple Title Holder on next page(if different E-Mail jell@libertybuildergroup.com
from the Owner listed above) State or County License CGC 1504157
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: x ot Applicable MORTGAGE COMPANY: -X_ Not Applicable
Address. "lame:
City: Address:
Zip: Phone State: City:
Zip:_________Phone: State:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:
Name: Not Applicable
Address: Name:
Ci±" Address:
Zip: Phone: Cit
Zlp. Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation '
I certify that no work or installation has commenced prior to the issuance of a permit.
as indicated.
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
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 prohibit such
in accordance with the a y approved plans,the Florida Building Codes and St.Lucie County Amendments. a work
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE RE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER ATT RNEY BEFORE RECORDING YOUR OTICE OF COMM
Iff H
Signature of ner/Lessee/Contractor as Agent for Owner
Signature of C tractor/License Holder
STATE OF FLORID. STATE OF FLORIDA
COUNTY OF ( ,I COUNTY OF: l I I r`l �?
The f rping instnpAent was ack owledged before me The forgoing inst ent was ac nowledg before me
this day of ,20�t I b f�
y this day of 20O I by
Name of person mak' statement.
Name of person ma ' g statement.
Personally Known OR Produced Identification PersonallyKnown
Type of Identification OR Produced Identification
Produced Type of Identification
Produced
r
Signature of Notary Public- (Signte of Flood,, ature of Notary Public- t t
Commission N8. �( i9"� r g SStadin Notary PubFC State or Florida
I Com HH 057731 ommission o. Stephmr>� din
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p ' Exp ir"1 0/27 120 2 4 MY Co HH o57731
Expres 10/27/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
CQUl�;?ER P.E`/lE�":
DATE REVIEW REVIEtN REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
Rev.2/7/19