HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION.TO BE ACCEPTED .
ate: JUNE, 25 2018, SCANNED,
1.
BY Permit Number:
40cier�untv
�� - ---- - .:RECEIVED.
Building Permit Applicati n
(t1300
lanning and Development Services JUL 1• A 201$
ilding and Code.Begulation Division PeI'R1IttlC)
Virginia Avenue, Fort.Pierce FL 34982 D ' p � j^tM e n t
Rhone: (.772) 462-1553 Fax: (772) 462-1578. Commercial f icLej�� { r- FL_
PERMIT APPLICATION FOR; . Renovation
1-
k iROPOSED,IM R, VEMENT=LOCATION
dress: 2105 GREENBRIAR LANE PALM CITY, FL 33990
!gal Description: HARBOR RIDGE #2 GREEN BRIAR VILLAGE
loperty Tax ID #: 4425-701-0055 000/9 . Lot No.
to Plan Name: - Block No..
-oject Name:.TUGAN
etbacks Front Back:: Right Side. Left Side::
iETAILED QESCRIPTION OF WQRfC ;ll 3
r...
=PLACE KITCHEN CABINETS& BATH VANITIES INSTALL NEW IMPACT WINDOWS & SGUS
STALL NEW GARAGEDOOR & OPERATOR INSTALL NEW HVAC DUCT WORK RELOCATE, .
-ECTRICAL AS NEEDED .
' F
CONSTRUCTION INFORMATf01V
,. _ ,
{
itional work to . e performed under
�HVAC LJ Gas Tank
tF is permit _ check
❑✓ Gas Piping
a.. _ apply:
_ Shutters ✓Q Windows/Doors
Electric RI.Plumbing
Sprinklers
Generator Roof . Roof pitch
Total Sq. Ft of Construction:
.::.
S . Ft. of First Floor:El
Cost.of Construction: $_ 162,000.00
Utilities:
Sewer Septic Building Height:
OWNER/LESSEE ly
CONTRACTOR
Name MARK & WENDY TAUGAN
Name: GREGORY J MORABITO _. .
` j 2105 GREENBRIAR LANE
Ad:iiress:
GM CONSTRUCTION LLC
Company:. . .
C"t - PALM CITY
State:FL
Address: 313 SW ALBANY AVENUE .:
Zip Code: 33990 Fax:
City. STUART State: FL
Phone No.603-689-8588
Zip Code:, 34994 Fax: 772-781-8505
E-Mail:MARC2.K10@COMCAST.NET
Phone No. 772-781-8500
E-Mail:- GMCONSTRUCTION @ BELLSOUTH.NET
Fill in fee simple Title Holder on next
page if different
State or County License: CGC04974,3
from the Owner listed above).
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Q( 1 . t 1. %_j
S;:IPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION �-
QESIGNER/ENGINEER: _ Not Applicable
I ame:Nl A Co/2SoNd �qS®c1.4-fZS5, /A/C •
A1ddress: //2/ .9, E•
MORTGAGE COMPANY: of Applicable
Name:
Address:
City: State:
Zip: Phone:
uity:�S'?11,a�T, ;= 3dri•94, State: i=c--
p. d Phone 772 ,723- 922
2EE SIMPLE TITLE HOLDER: �ot Applicable
ame:
BONDING COMPANY: _Not Applicable
Name:
ddress:
Address:
4111ity:
lip: Phone:
City:
Zip: Phone:
I
O NER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I 'ertify that no work or installation has commenced prior to the issuance of a permit.
S Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
w ich is in conflict with anyapplicable 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.
19 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.
T�e following building permit applications are exempt from undergoing a full concurrency review: room additions,
a icessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
ARNING 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 pos d on the jobsite
b�e'fore the first inspection. If you intend to obtain financi , consult wit ender r an at mey efore
cpmmencing work or recording your Notice of Commerttemetnt.
11 Nvqt� A-6-AO"A
U \/N \ A kll__�
Signature of Own r/ Lessee ntractor as Agent for Owner
Signature of C nt ctor/License of er
`'STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUG/C:
COUNTY OF :5-7" 141C/63:_
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 8 day of J[�C[a 20/S by
this R day of—/�L (� 20 /a by
7-
Nam6 of person making statement
Name of person making statement
Personally Known OR Produced Identification 4---
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Prod ced 12,21
oo
Produced 4>21u45
g at re of Notary Pu lic- St a a)
of No ar bl' St to of Floridaommis
ion No.64; /5bl qZ (Seal)
Qignp�re
n No.64, (Seal)
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