HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/21/2017 G Permit Number:
•
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
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St. Lucie County, FL
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PERMIT APPLICATION FOR: Renovation El I
PROPOSED IMPROVEMENT LOCATION:
Address: 12445 Harbour Ridge Blvd., Palm City, FI.3499.p
Legal Description: Pond Apple Village Unit 3-8 (OR 3796-802: 2875-2891)
Property Tax ID #: 4425 620 0024 000 5 Lot N6.44/26N
Site Plan Name: Block No:
Project Name: Mariner bath remodel
Setbacks Front Back: Right Side: Left Side:
D`ETAI;LED,DESCRIPTION OF . ORK:
Replace existing Tub/Shower. Replace drywall above tub @60 sq. ft. with 1/2 Durock or equal. No
Valves or drains will be changed. Replace shower trims only.
CONSTRUCTION INFORMATION: -
Additional work to e e orme under this permit —check a apply:
11HVAC 11 Gas Tank ❑Gas Piping __Shutters Q Windows/Doors
11 Electric Fv� Plumbing Sprinklers F]Generator 11 Roof . Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1200
S Ft. of First Floor: _
Utilities: -Sewer Septic
Building Height:
OWNER%LESSEE:
CONTRACTOR:
Name Mildred C Maringr (TR)
Name: ,lames Restifo
Address:130 SE Rio Cassarapo.
Company: Restifo Builders. Inc.
City: Port St. Lucie State:Fl
Address: 3140 SW Alexander Ct
Zip Code: 34984 Fax:
City: Palm City State: FL
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Phone No. 9 7� (� 9%' !�=1�92
Zip Code: 34990 Fax:
E-Mail:
Phone No. 772-233-3658
E-Mail: RestifoBuilders@concamst.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CGC 1517836
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAl.,CONSTRUCTION LIEN'LAW INFORMATION: ,
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:+wnwas
Address:
Address:
City: *gym State:
City:++11118rr State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:s—
Name:
Address: 3140 SW Alexander Ct
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 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 lender or an attorney before
commencine work or recording vour Notice of Commencement.
ure of Owner esse
ractor as Agent for Owner
Sig ure of C or/License Holder
STATE OF FLORID
STATE OF FLO IDA
COUNTY OF � .
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Lout .
COUNTY OF.. _ __ n __ _ tJ
The for oing inst ment was acknowledged efore me
The fo going instr ent was a wledge efore me
thisoday of
20�by
this day of 20 1 by
Name of person making statVment
Name of person making statement
Personally Known
OR Produced Identification
Personally Known OR Produced Identification
Type of Identifi ati
�L-
Type of Ide ification
Produced
Produced •
,
1
c,
(Sign ure of Notary Public- State of Florida)
(Signature f Notary Pub c- State f lorida )
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�.9AUIaIC�iAbIAY
Commission No.
MOM,,, — E N S. N I E L S E
mission o. e� m� �1�tary Public, State of
a _ Commission # F F 1 1 5 6
�' Commission# FF 952
My Commission Expires
�,tycomm. expires Jan. 2
ZONING
SUPERVISOR
REVIEWS
FRONT
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17