HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE I FO MU T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ( 77 Permit Number: I
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Alteration
PROPOSED, IMPROVEMENT LOCATION: ¢;
119 SW 6th Street
Address: I35�(Q r\J is Cbcz!z I C'7\
Legal Description: Harbor Ridge Plot NO 1 Lot 26(or 3934-2014)
Property Tax ID#: 4436-601-0026-000-4k Lot No.26
Site Plan Name: Block No.
Project Name:
Marsilia Residents
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove column at lanai and install 3 LVL's / Remove and replace misc. windows and doors with
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impactI glass, relocate kitchen plumbing and Misc. Electrical and HVAC
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CONSTRUCTION INFORMATION: ff
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Additional work to be pertormed under this permit—c ec a apply:
HVAC _Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers E]Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 84,000.00 Utilities .: Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR!.
Name Ron&Joyce Marsilia Name: Andre E.Michele
Address:13056 Coco Plum Court Company: AEM&Associates LLC.
City: Stuart State:FL Address: 3 Ridgewood Circle
Zip Code: 34990-4831 Fax:NA City: Jupiter State:FL
Phone No.703.624.2313 Zip Code: 33469 Fax: NA
E-Mail:ronmarsilia@cox.net Phone No. 561.568.3002
Fill in fee simple Title Holder on next page(if different E-Mail: andre@aemandassociates.com
from the Owner listed above) State or County License: CGC 1625027
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required..
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SUPPLEMENTAL.CONSTRUCTION LIEN LAW INFORMATION:. ( rill
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Add ress:119 SW 6th Street Address: too�
City: Stuart State: FL City: State:
Zip: 34994 P h o n e 772.283.3492 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Ad d ress:3 Ridgewood Circle Address:
City: City:
Zip: Phone: Zip: Phone:
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OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work'and installation as indicated.
1 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 is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
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 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 your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with le der or an;attorney before
commencing wor or recording o Notice of Commencement.
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Signature of Owner/Lessee ontractor as Agent for Owne Signatu a ontractor/License Holder
STATE OF FLORIDA STATE OF FLORUDA
COUNTY OF TN A Ne COUNTY OF KM k AIA
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The forgoing instrument was acknowledged before me The fRRr�oing instr mentw,as ac nowledged before me
this�O day of S�o�2 w�lea .20� by this fro day of !e P; Vm b 200 by
'AyuQtLe Mic �c�le-- u�Ae_(e
Name of person making statement Name of person making statement
Personally Known OR Produced Identification—41-0 Personally Known OR Produced Identification
Type of Identification ;' " Type of Identification
Produced _ eVk)evL iC_.24S0- Produced ���P lh
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(Signatur of otary ublic-State • Florida) E_ w� (Signature No ryM
of Florid ) 3
p �_ Cn
Commission No. �1 5 1 (Seal}z n Commiss' n No. I V (Seal) R CD
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REVIEWS FRONT ZONING SWPERVISOR PLANS VEGETATION SEA TURTLE M4y(WOVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REV
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17