HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
te: 09/05/2018 SCi6 NN)E® Permit Numb
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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
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