HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 12-7-21All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building 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: Kitchen Remodel
PROPOSED IMPROVEMENT LOCATION:
Address: 9940 S OCEAN DR, Unit 303 Jensen Beach, FL. 34957
Property Tax ID #: 4502-502-0030-000-3 Lot No.
Site Plan Name: 9940 S OCEAN DR, Unit 303 Block No.
Project Name: Peggy Caltabiano
_ —!
i DETAILED DESCRIPTION OF WORK:
I
Demo and Replace Flooring in Kitchen and Main Living Area with Proflex MSC-90 Mega Sound Control and terrad 8" X 48" Mattina beige Floor tiles
Demo and Replace Kitchen Cabinets and install LED Recessed Lights and Remove and Install New Sink and Faucet In Kitchen
Paint Inside Living Room Kitchen, bathroom, and hallway
New Electrical Meter _ Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION: -- - T-
Additional work to be performed under this permit —check all that apply:
__Mechanical — Gas Tank _ Gas Piping ^ Shutters _ Windows/Doors Pond
X Electric X Plumbing — Sprinklers — Generator ! Roof Pitch
Total Sq. Ft of Construction: 600 _ Sq. Ft. of First Floor:
Cost of Construction: $ 30,000.00 _ Utilities: --Sewer ___ Septic Building Height:
_OWNIER .LESSEE:
CONTRACTOR: _
Name Peggy Caltabiano Name: Gunton Stone
Address: 9940 S OCEAN DR, Unit 303 Company: GUYTON'S CUSTOM DESIGNS
City: Jensen Beach State: FL Address: PO BOX 1735 —
Zip Code: 34957Fax: — ,_— City: _ Indiantown State: FL
Phone No. 516-369-1750 _�— E- Zip Code: 34956 _ Fax:
Mail: _peM_gaitabian @_ mq ail_com _ I Phone No 772-260-8_670
Fill in fee simple Title Bolder on next page (if different E-Mail_ info@guytonindustries.com —
from the Owner listed above) State or County License CGC1530285
i_ __ _ _ _ __ __ _ _ County Cert # 32695
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: I
DESIGNER/ENGINEER: _ Not Applicable
Name: _
Address:
City:
Zip:
Phon
FEE SIMPLE TITLE HOLDER:
Name:
Address: _
Citv:
Zip: Phone: _
State:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: _
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:
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.
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 consu t with your Homeowners 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 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 your intend to obtain financing, consult
with lender or an attorney before commencing work or recording your Notice of Commencement.
Signatu e of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA Mar
COUNTY OF Y1
Sworn to (or affi ed) and subscribed before me of ✓
Physical Presence or Online Notarization
this _T day of M160C _, 2021 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification Produced P h
(Signature of Notary Public- State of Florida)
Commission No. �Gj (� I L �{Geal ) o'Os ?�a LARHONDAMCBRIDE
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Commission # HH 099126 �
Expires March 1, 2025
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Rev 5/20/21