HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/19/22 Permit Number:
S `L o Ll? Ccl t
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c l� 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: Hardi Siding on existing home
R0P(J ED 111'1PFiCWEMEN L�G?CATl 1�1 `
Address: 3259 Turnabout Lane. Palm City, FI. 34990
Property Tax ID #: 4436-510-0006-000/9 Lot No. 2
Site Plan Name: Wide Waters Block No.
Project Name: C Dwyer Siding
soffit• .• siding
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 23,000.00
Name Charlie & Kim
_ Gas Piping
_ Sprinklers
Shutters
(Affidavit required)
_ Windows/Doors — Pond
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
Address: 426 Rhett Butler Dr.
City: C ar eston State: SC
Zip Code: 29414 Fax:
Phone No. E-
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
71F IiW
Company: Dreammaker Bath & Kitchen
Address: 6118 SE Federal Hwy
City: Stuart State: FI
Zip Code: 34997 Fax: 772-286-2072
Phone No 772-288-6255
E-Mail Dave(@d ream make r-stuart.com
State or County License CGC1507879
It 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.
DESIGNER/ENGINEER: X Not Applicable
Name: _
Address:
City: _
Zip:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
State
X Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
State:
BONDING COMPANY: x 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 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 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
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
wilb lerlderAAn attorney before commencing work or recording our Notice of Commencement
Signature of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA Martin
COUNTY OF
Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization
this19th day of January 20 22 by
Ed Gribben
Name of person making statement.
Personally Known X OR Produced Identification
Ty, a of Identification Pr ced
(Si nature of Notary Public- State of Florida)
;;�^•"'¢,. DAVE=MORELLICommission
No. HH110877 (Seal) ^;: ;. CommExpireBonded
.385-f019
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