HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
01
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: Interior Remodel/ Kitchen
PROPOSED IMPROVEMENT, LOCATION':
Address: 01 1 u r-apaya urive. r on: t-ierce, t- i. o4yt5z
Property Tax lD#: 3402-610-0273-000-0 Lot No. 8&9
Site Plan Name: Indian River Estates Qlo 1, KI 79
Project Name: Pomponi Kitchen Remodel
I U.
Kitchen Remodel with new cabinets, plumbing fixtures and new lighting
Relocate exhaust hood, ect.
See detailed SCOPE OF WORK LETTER attahed to this application
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
_2Nechanical
X Electric
Gas Tank
X Plumbing
— Gas Piping
— Sprinklers
Total Sq. Ft of Construction: No Change
Cost of Construction: $ 112,167.00
Shutters
Generator
(Affidavit required)
Windows/Doors Pond
Roof Pitch
Sq. Ft. of First Floor: No Change
Utilities: — Sewer — Septic Building Height:
Name Shirley Pomponi & Dominic Liberatore
Address: 5710 Papaya Drive
City: Ft Pierce State: FI
Zip Code: 34982 Fax:
Phone No. E-
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: CU %J1 luuul I
Company: Ureammaker bath an I Chen
Address: . 61 IS ,;F Fp-(iprql Hwy- —
City: Stuart State: FI
Zip Code: 34997 Fax: 772-286-2072
Phone No (772)288- 6330
E-Mail dave(a)-d ream ma ker-stua rt. corn
State or County License CGC 1507879
99 VQ1U= W1 UVIIU LILLIU11 m &auu ur more, a KtWKUtU motice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Don Nuelle Name:
Address: 11634 Rowena Street Address:
City: PolffSt Eucie State: F I City: State:
Zip: 34987 Phone - 975 Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not 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 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 an 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
witla-lendernranattorne before commencin work or recording our Notice of Commencement.
Signature of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA Martin
COUNTY OF
Swot t (or affirm d) ands bscribed beffo a me of Physical Presence or Online Notarization
�� becember
this day of 20`L� by
Ed Gribben
Name of person making statement.
X
Personally Known OR Produced Ident'fic tion
Type of Identification P ced personally Known
'j.
DAVE D. MORELLI
(Signature of Notary Public- State of FloridE�r
HH110877 Commission # HH 110877
Commission No. (Seal) a ExpimsMay8,2025
. Bonded pVu troy Fain Insurance 800.385-70tg
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Rev 1U/1Z/11