HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR, APPLICATION TO BE ACCEPTED
Date: 3/16/2018 �. Permit Number: `O
SCANNED
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Building Permit Application
Planning and Development Services. .
Building and Code Regulotion Division.
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2300 Virginia Avenue; Fort Pierce FL 34982
Phone: (772) 462-1553 Fax:.(772) 462-1578 i Commercial. Residential x
.PERMIT APPLICATION FOR: p
To Select from dro box, click arrow, at the end of line
PROPOSED IMMOVEMENT LOCATION
Address: 2001 NW Laurel Oak Lane, Palm:City, FL 34990
Legal Description: Harbour Ridge Plat 6 - Laurel Oak Village Unit 26 (MAP 44/26N)
Property Tax ID #: 4425:-605-0059-000-2 Lot No. 26
Site Plan Name: Block No.
.project Name: Zanchi Renovation
Setbacks Front ::: Back:. :. Right Side: Left Side:.:
DETAILED ;DESCRIPTION; OF WORK
interior renovation--: Remove;anclypplace'k'tchen cabinets and counter tops;
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CONSTRUCTfON INFORMATION:
HVAC Gas Tank n Gas Piping Shutters I1 Windows/Doors .
Electric Q Plumbing [Sprinklers'Generator - a Roof Roof pitch
Total S.q, Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction $ /�.�, =o.r Utilities: Sewer Septic =, :Building Height:
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OINNf R/LESSEE: : ;CONTRACTOR.:.
Name: Zanchi Holdings LLG Name: Greg Morabito
Address: 4474 Weston: Road Company: GM Contracting
City: Davie State! _FL Address: 313 SE Albany Ave
Zip Code: 33331 Fax: City: -Stuart State:: FL
Phone No. 6787231-6511 Zip Code: 34994. Fax: 772-781=8505 .
E-Mail: iudyzanchi2l@gmail.com Phone. No. -772-781-8500
Fill in fee simple Title Holder on. next page ( ifAifferent E-Mail:: gmconstructionllc:corri .
from the Owner:l,isted above) :State or County.Licensei CGC049743
If value of construction is $2500.or more; a RECORDED -Notice of Commencei6ent is required.
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SUPPLEMENTAL CO NSTRUCTION,'IaEN'LAW INFORMATION"
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DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip:.... Phone ..
Zip:.:.. Phone:
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FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Not Applicable
Name:. q.
Name:
Address:
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Address:
City:
City: .
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a per''it.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 Counttyy makes no representation that is granting a permit will authorize the permit holderto 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 yourliome Owners Association: and review your deed for anyrestrictions 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 usg
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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 obtainlfinancing, cohsuq n ith lender or an attorney before
commencing work'nr rlU arhi-dino vni irnfirp nf. o rnmmion�omnt J 1 .. • ^ . -
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Signature of Ownet/"Lessee/Contractor as Agent for caner
Signature of Contract, License Holder
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STATE Of FLORIDA ,
COUNTY OF 1K'4 G
STATE OF FLORIDA 1
COUNTY OF: . L toe_
The forgoing instrument was acknowledged before me
this ; day0 A&O," 20�$ by
The forgoing instrument was.acknowledged before me
this% day of rt- 20JJ by
Name of person making statement :
Name of person making statement
Personally Known OR Produced Identification
Personally'Known.... OR Produced Identification r�
Type of Identification
Type of Identification
ced
Produced
;Pro
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gn ure of Notary ublic- State of`Florida)
a re • f ftta® r€ g of Florida.).
Commission No. (Seal)
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Commission N� �': 'bN`oro' • SJ, (Seal)
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