HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/21/2017 Permit Number: ` 1 a
Building Permit Application AUG ? 2 201?
Planning and Development Services
Building and Code Regulation Division PER[AlITING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Renovation E
.PROPOSED IMPROVEMENT LOCATION:
Address: 12366 Harbour Ridge, Palm City
Legal Description: South Shore Village Unit4-1(OR3962-560)
Property Tax ID #: 4426 807 0025 000 8
Site Plan Name:
Project Name: Kozloski Remodel
Setbacks Front Back
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot N6.44/26N
Block No.
Remodel kitchen & baths. Replace all cabinets. Replace all Appliances. Fill in some existing wall
openings as noted. Add Island cabinets, wine cooler in Kitchen. Remove non -bearing kitchen wall.
Add closet to Guest Bedroom. All interior work, no structural changes.
CONSTRUCTION INFORMATION:
Additional work to be nerformed under this permit —check _ a apply:
0HVAC Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers FIGenerator Roof Roof pitch
Total Sq. Ft of Construction: $20;000 S . Ft. of First Floor: 1752
Cost of Construction: $ Utilities:CnSewer OSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NamePK & CK Properties LLC
Name: James Restifo
Address:12366 Harbour Ridge Blvd. #4-1
Company: Restifo Builders, Inc.
City: Palm City State:FL
Address: 3140 SW Alexander Ct.
Zip Code: 34990 Fax:
City: Palm City State: FL
Phone No.
Zip Code: 34990 Fax:
E-Mail:
Phone No. 772-233-3658
Fill in fee simple Title Holder on next page ( if different
E-Mail: RestifoBuilders@comcast.net
from the Owner listed above)
State or County License: CGC 1517836 3'�
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
L
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 restriction's 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
commencingwork or recordingour Notice of Commencement.
P X971_� —
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Ian- 21,
Rev. 8/2/17 C4 J
;S,UPP;LEMENTALCONSTRUCTlON LIEN L4W
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INFORMATION:
,
DESIGNER/ENGINEER: X
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:"�'"`° ^'
Name: I_��R -^��-
Address: �
Address:
City:
State:
City: Pam City
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address: a�ao sw Alexander ct.
Address:
City:
City:
Zip: Phone:
Zip: Phone:
l ture of Owner essee ontractor as Agent for Owner
Si t re of Con r
older
STATE OF FLORIDA/ �
STATE OF FLORIDA
COUNTY OF �.�.l—�t
The f ing instr ent was acknowledged before me
this day of 204 by
The for oing instr ent was a wled efore me
this day of 20 by
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