HomeMy WebLinkAboutPERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
v
wilding Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
ROP45D i,M�'RC1UM;NT LCATON
Address: 7208 MAIDSTONE DR., PORT ST. LUCIE FL 34986
Property Tax ID #: 3322-505-0087-000-1 Lot No. 78
Site Plan Name:
Project Name: 2100569 BUCK
Bathroom repair - wet area only - Replace existing bathtub to a new marble-lite shower
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit —check all that apply:
(Affidavit required)
Block No.
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric X Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 20 sq. ft.
Cost of Construction: $ $13,140.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
Name KURT L. BUCK
Address: 7208 MAIDSTONE DR.
City: PORTS. LUCIE State: FL
Zip Code: 34986 Fax:
Phone No. 646-739-8734
Mail: mviana@fhiaremodeling.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
I
Name: LUIS A. SOSA
Company:ALL40NE CONSTRUCTION & PLUMBING INC.
Address: 10795 NW 53 RD ST #201
City: SUNRISE State: FL
Zip Code: 33351 Fax:
Phone No 954-990-7666
E-Mail serviceC@a4ls.com
State or County License CFC1427942
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.
DESIGNE
Name:
_ Not Applica
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
_ Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name: _
Address:
City: _
Zip:
't.i-
_ Not Applicable
State:
Not Applicable
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, 1 do hereby agree that 1 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 attornev before commencing work or recording vour Notir_e of Commenrement.
Signature of Owner ' ssee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF —
Sworn to (or affirmed and subscribed before me of Physical Presence or Online Notarization
this. lbayof AO' 2041 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification odu d
(Signature of Notary Public- State of Florida)
Commission No. (Seal) e�pv pu" Notary Public State of Florida
4r Orlando Rigali
My C.'r r711sS1on NH 053403
Expires 10/14/2024
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