HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
CBDG Funding
PERMIT APPLICATION FOR: Kitchen Remodel
PROPOSED IMPROVEMENT LOCATION,
Residential X
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
DETAILED DESCRIPTION OF WORK:
Demo and Replace Flooring in Kitchen and Main Living Area with Proflex MSC-90 and Cerrad 8" X 48" Mattina beige floortiles
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:
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:
OWNER/LESSEE:
CONTRACTOR:
Name Peggy Caltabiano __.
Address: 9940 S OCEAN DR, Unit 303
Name: ANDREW J EWING
Company: GUYTON'S CUSTOM DESIGNS
City: Jensen Beach State: FL
Zip Code: 3495i7 Fax:
Phone No. 561-369-1750 E-
Address: PO BOX 1735
City: Indiantown State: FL
Zip Code: 34956 Fax:
Phone No 772-260-8670
Mail: peggy_caltabiano@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail info@guytonindustries.com
State or County License CGC1530285
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:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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, 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 you intend to obtain financing, consult
witn lenaer or an attornev before commencing work or recoralne vour lvotice or commencement.
Signature of Ownef/ Lessee/Contracto s gent for Owner
STATE OF FLORIDA j
COUNTY OF
Sworn (or affir ed) and subscribed before me of V Physical Presence or Online Notarization
this day of 20_?.Z by Rr7CJr_ec j . CELL�)jr)
Name of person making statement.
Personally Known OR P
Tvbe Adentification Produced
(Signature of Notary Public -
Commission No.
Identification
BERENICE E.D. HANCOCK
(Seal) Notary ?ubiic - 5tat2 of +=1oriCa
Commission ; ; H 189448
?o My Comm. Expires Nov 5, 2025
Bonded through National Notary Assn.
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