HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST B COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / 1 Permit Number:
dIIIIII SCANNED
m r k RECEIVED
StIudeCOUMV
Building Permit Application AUG 2® 2018
Planning a d Development Services ST. Lucie County, Permitting
Building a Code Regulation Division
2300 Virgi 'a Avenue, Fort Pierce FL 34982
Phone: (7 2) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT PPLICATION FOR: Renovation (-
PRQPOS O IMPROVEMENT LOCATION:
Address: i ( eiCr
Legal Descri tion: Orange Park S/D BLK B LOT 10 (1.04 AC) (OR 1142-848)
PropertyTa
I D #: 2308-501-0023-000-6 Lot No. 10
Site Plan Na
e: Block No. B
Project Nam
: Presutti
ront Back: Right Side: Left Side:
Setbacks
[ibETAILED PESCRIPTION OF WORK:
Lwer 96" II Kitchen walls to 42" AFF
Lower Exist Ing outlets to Bartop Location
Relocate M rowave Outlet to New Location
All Other PI mbing, Alppliances and Electric to Remain in Existing Locations
CO'NSTRU
6ION INFORMATION:
itional w
11HVAC
rktobignerformed under this permit— check all apply:
Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
Electric
❑_ Plumbing []Sprinklers ❑ Generator Roof Roof pitch
Total Sq. Ft o
Construction: ��^ ,_ Jy S . Ft. of First Floor:
Cost of Con st
ction: $ �c�l� I , b Utilities:Sewer Septic Building Height:
bWNERh
SEE:
CONTRACTOR:
Dame
Address':
C ty:
ip Code: 349,
P one No.772
E Mail:
Fi I in fee simp�
fr m the Own
`
Name i
Company: See The Difference, Inc.
Address: �5 3 0r,(_ D r
r r
`-PAC, State: F�
5 Fax:
216-8390
City: State: FL
Zip Code: 34984 Fax: 772-777-4084
Phone No. 772-807-2961
a Title Holder on next page ( if different
r listed above)
E-Mail: office@seethedifferenceinc.com
State or County License: R1329003669
If �alue of const(pction is 5Z500 or more, a RECORDED Notice of Commencement is required.
-�t
SUPPL
,ENTAL CONSTRUCTION LIEN LAW ENFORMATION:
DESIGN J/ENGI
Name:
Address:ll
City:
Zip:
NEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
State:
Phone
FEE SIMF
Name:
Address:
City:
Zip:
LE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
I Phone:
Zip: Phone:
OWNER/ ONTRACTOR 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 Cou tyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in c flict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. PI �se consult with your Home Owners Association and review your deed for any restrictions which may apply.
In considerat'on of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordanc ' with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The followin building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory str Ictures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING O OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvem nts to your property. A Notice of Commencement must be recorded and posted on the jobsite
before theirst inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordine vour Notice of Commencement.
Signature of lowner/ Lessee/Contractor as Agent for Owner
STATE OFIFLORID;
COUNTY OF ST. LUCIE
The forgoinol instrument was acknowledged before me
this 14 da of August 20_ by
Richard N. Bartholomew
Na a of person making statement
Personally K own x OR Produced Identification
Type of Iden ification
Produced 11
Aa
APRARAIAF
Cd
(Signature o Notary Public dt f ,for COMMISSION #FFt
1=S August 28,
Commission o. FF755600 ''•?uFs�d"` al g
REVIEWS 111 NING
COUONTER NT I REVIEW
DATE
RECEIVED
DATE
COMPLET
?v. 8/2/17
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST.LUCIE
The forgoing instrument was acknowledged before me
this 14 day of August , 20_ by
Richard N. Bartholomew
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
re of Notary Public -
No. FF155600
53
'BARBARA WAT!
MY
ESRPI ES IAugust 28,
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW