HomeMy WebLinkAboutBuilding Permit ApplicationAll 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
I PERMIT APPLICATION FOR: Kitchen Remodel with New Window 1
Address: 7962 Poppy Hills Lane. Port St Lucie, Fl. 34986
Property Tax lD #: 3327-709-0025-000-0 Lot No. 70
Site Plan Name: The Reserve Phase 2 Cypress Point Block No.
Project Name: Lippincott Kitchen Remodel
General Kitchen Remodel with Sliding Glass Door to Window replacement
Detailed Scope of Work Letter Attached
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
X Mechanical
x. Electric
Gas Tank
X Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 68,900.00
Gas Piping
_, Sprinklers
Shutters
(Affidavit required)
X Windows/Doors _ Pond
_ Generator — Roof Pitch
Sq. Ft. of First Floor:
Utilities: `Sewer _Septic Building Height:
Name Sally Lippincott
Address: 7962 Poppy Hills lane
city: Port St Lucie State: _F1_
Zip Code: ,34986 Fax:
Phone No. E-
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Ed Gribben
Company: Dreammaker Bath and Kitchen
Address: 6118 SE Federal Hwy.
City: Stuart state.. Fl
Zip Code: 34997 Fax: (772)286-2072
Phone No (772)288-6255
E-Mail ciave0dreammaker-stuart.com
State or County License CGC1507879
j� If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. {,
I If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. ij
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone 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 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
with leer or an attorney before commencing work or recordine vour Notice of Commencement.
Signatu e o ontractor - or - Owner Builder as applicable
STATE OF
COUNTYOFORIDA `A�r
Sworn to (or affirmed) and subscribed before me of 7� Physical Presence or Online Notarization
this.21;L day of JitACa 3tLl 2o22by
Name of person making statement.
Personally Known ,hl�Q—b R Produced Identification
Type of Identification Prod c d
(Signature of Notary Public- State of Flori .,..m.,,
DPP DAVE D. MORELLI
Commission No. (Seal) Commission# HH 110877
Expires May 8, 2025
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