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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED te: 09/05/2018 SCi6 NN)E® Permit Numb � 9 : lWO�����a�i�f Building Permit Application ing and Development Services ng and Code Regulation Division Virginia Avenue, Fort Pierce FL 34982 e: (772) 462-1553 Fax: (772) 462-1578 MIT APPLICATION FOR: Renovation POSED IMPROVEMENT LOCATION: Commercial ress: 18501 Kitty Hawk Ct, Fort Pierce, FL 34987 it Description: AERO ACRES BLK 2 LOT 24 (1.409•AC) (OR 2959-265) D RK E CC 1'.Q za SEP 6 2018 Permitting .Depertmen .St. Lucie County,, FL iertyTax ID #: 3215-801-0053-000-4 Lot No. 24 Plan Name: Block No. 2 ect Name: Kitchen, Guest Bath, and Master Bath Renovation Jacks . Front Back; Right Side: Left Side: DETAILED DESCRIPTION OF WORK: I Rer `l odel kitchen, using same footprint except relocating microwave and hood vent outlets. Guest bath rerr odel using the same footprint, no plumbing or electrical relocation. Master bath remodel using the sa ' e footprint, except relocating shower head. No electrical relocation. Re -tile flooring in kitchen and livir 6 room area. Cq STRUCTION INFORMATION: Adoltional work to be erformed un er t is permit — check all apply: I ]HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors l Electric 0 Plumbing Sprinklers ElGenerator [, Roof Roof pitch Tot I Sq. Ft of Construction: U S . Ft. of First Floor: Cos of Construction: $�3 0 Utilities:Sewer Septic Building Height: OVIW N'ER/LESSEE: CONTRACTOR: NarilliIlIe Add City Zip Pho E- Fill 1 fro Marsha Ruble Name: David "Harley" Van Ginhoven Company: D C Construction & Company, Inc. Address: 1916 21 st Ave. City: Vero Beach State: FL Zip Code: 32960 Fax: (772) 567-4237 Phone No. (772) 360-8571 E-Mail: harley@ibuildwithcare.net State or County License: CGC1507644 �tess:18501 Kitty Hawk Ct. Fort Pierce State: FL ode: 34987, Fax: lie No. (407) 341-3869 ail: pbylady@aol.com fee simple Title Holder on next page (if different the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x_ Not Applicable 11 MORTGAGE COMPANY: x Not Applicable fame: Marsha Ruble Name: David "Harley" Van Ginhoven fi Iodre$S; 185o1 Kitty Hawk Ct, Fort Pierce, FL 34987 Address: 18501 Kitty Hawk Ct. City: Vero Beach State: Cjlty: Fort Pierce State: ZIP: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable _ Name: Name: AC1d ress: 1916 21st Ave. Address: C,ty: City: Zip: Phone: Zllp: Phone: O NER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I c IIII ify 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 whInsideration h is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such strture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In 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. Thel�ollowing 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 in twice for imO.rovements to your property. A Notice of Commencement must be recorded and p ed on the jobsite beiare the first inspection. If you intend to obtain financing, consult with lender or attorney before commencing work or recording vour Notice of Commencement. id ature of owner/ Lessee/Contractor as Agent for Owner Signatur Contractor/License ST` TE OF FLORIDA STATE OF FLM L COUNTY OF ST T G✓� COUNTY OF 041- The fo5going instrument was acknowledged before me The f�going inst ment was acknowledged efore me th' 7 day of , 2QL by this day of MJ 20 , by � hA (L S('ei L I&VGCe Name of person making statement � Name of person making statement Personally Known OR Produced Identification Personally Known V OR Produced Identificatio&� Ty a of Identification �L- Type of Identification dL 1/ l lv 3' !O' ri7' Pr duced i� II Produc ,%L (Signature of Notary Publi nature of N aJVUtJ- YNN EVANS Co RUBEN V. VALLS f l f y 'D�® mission No. ? q �1" r, t8WPubllc, State of Florida , `cis �' �, Y P Notary Pub - fate, of Florida ommission No. . � � 1 Commission# FF 939592 My Comm. expires Jan.17, 202-" -' a Commis FF 913652 F �`o= My Comm. Expires Sep 6, 2019 °;, Bonded through National Notary Assn. , REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REV REVIEW REVIEW REVIEW DATE RECEIVED DATE COI!VlPLETED 4� Rev.