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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE ei]�MPLETED FOR APPLICATION TO BE ACCE"eJ Date: 09/08/2021 Permit Number: 01 Call gVo LCDL h Building Permit Application Planning and Development Services X Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 CBDG Funding PERMIT APPLICATION FOR: Remodel and Repair PROPOSED IMPROVEMENT LOCATION: Address: 13507 COCO PLUM COURT Property Tax ID#: 4436-601-0028-000-8 Lot No. Site Plan Name:Clough Block No. Project Name: Clough DETAILED DESCRIPTION OF WORK: 11 FLOOR: NEW KITCHEN AT EXISTING LOCATION, MODIFY PRIMARY CLOSET&BATH ENTRY, NEW PRIMARY ATH, RELOCATE ELECTRICAL PANEL,ADD SUB-PANEL. 2ND FLOOR: MODIFY EXTERIOR WALLS AS INDICATED MODIFY EXISTING BATHROOMS 3&4 AS INDICATED, NEW WINDOW, AS INDICATED. New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank _Gas Piping Shutters X Windows/Doors Pond X Electric X Plumbing Sprinklers Generator Roof Pitch Total Sq. Ft of Construction: 4800 Sq.Ft.of First Floor: Cost of Construction:$ 75,000.00 Utilities:- Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name kin J 0=m Name: JEFFREY WALSH Address:257 SE MONTEREY RD Company:Liberty Home Builders City: STUART State:FLORIDA Address:257 SE MONTEREY ROAD Zip Code:34994 Fax: 772-324-8578 City:STUART State: FL Phone No. 772-324-8277 Zip Code:34994 Fax: 772-324-8578 E-Mail:JEFF@LIBERTYBUILDERGROUP.COM Phone No 772-324-8277 Fill in fee simple Title Holder on next page(if different E-Mail JEFF@LIBERTYBUILDERGROUP.COM from the Owner listed above) State or County License . CGC1504157 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. S � i r �SUPRLEMEN�xAL CON i; X Ci'14N 1.�EN�LAW 1N_FfJF�MATiON:. �;w.��� ��#� r ��--1�r { rK DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: ( Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: XNot 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 installationas Indicated. i certify that no work or installation has commenced prior to the issuance of a permit. St.Lucie Count�yy makes no representation that is granting a permit will authorize theIcCany rmit holder to build the subject�ructure which is In conflict with anYY pplicable Home Owners Association rules,bylaws or anvenants that may restrict or prohlbit such structure.Please consult wit. your Home Owners Association and review your deed restrictions which may apply. In consideration of the granting of this requested permit,I 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 uWARNING 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 SITEJWqRE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER ATTORNEY BEFORE RECORDING YOUR NOTICILOWCOMM a Signature of ner/Lessee/Contractor as Agent for Owner Signature of tractor/License Holder STATE OF FLOR STATE OF FLO LUC l COUNTY OF ! srJi �C',1� COUNTY OF !"-- The oIng instr, t<nent was acknowledged before me TheMay,of g instrument as a knowledged before me this day of 20Zi by this 20�� by (Sk Name o pe o makin tatement. ' 1 .......Name of e n mak statement. Personally Known„ OR Produced Identification Personally Known_ OR Produced Identification Type of identification Type of Identification Produced Produced V (Signature of Notary Public-State of Florida nature of Notary Public-Sta a of Florida Public Sta1a of Flori N Spuflin . p of Florida 51 ©��� �' o"' g Co mission No. �' � �i1e Commiss on 0. :( llin omml HH 057731 Stephanie �HH 057731 „ Expres J0127n024 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATI REVIEW REVIEWCOUNTER REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.