HomeMy WebLinkAboutBUILDING PERMIT APPLICATION* f
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Num
Building Permit Applicatim
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
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SEP242018
Permitting Departr� len
, 0e County, FL
PERMIT APPLICATION FOR: Alteration
PROPOSED IMPROVEMENT LOCATION:
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Address: 1107 Kingwoods Lane (jy
I E.."� Lucie Legal Description: Driftwood manor -section two-lot12 (0.49 ac) (or 3766-476) 4}t e cj)untV
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Property Tax ID #: 3404-807-0012-000-3 Lot No.12
Site Plan Name: Block No.
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Project Name: Kukl kitcehn alteriation
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Open wall and install new header in order to enlarge kitchen. Work to be performed on iterior walls. no
exterior walls are be worked on. Remove #existing soffit.
CONSTRUCTION INFORMATION:
Additional work to e errormed under
IJHVAC Gas Tank
Electric P'l Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 11,468.00
permit - cnecK au i t apply:
3as Piping _ Shutters
Sprinklers []Generator
S Ft. of First Floor: _
Utilities: Sewer El Septic
QWindows/Doors
11 Roof Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name I ') ICILI
Name: (-P i2
Address: %G % f N l.Jd fl L.Vt
Company: Stromtroopers Home Improvement L C
Address:
City: Ve'z) ) Ceot C-h State: FL
Zip Code: 34957 Fax:
Phone No. 772-370-4937
E-Mail: edmckennainc@gmail.com
City: 1 f2 State:FL
Zip Code:" ' '3 (Cl Fax:
Phone No"'" — W3 '? -1) -C( -7 1
E-Mail:�9heeaaghaRRe4@yahea-M.uk
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CBC8324
If value of construction is S2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR 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 County makes no representation that is granting a permit will authorize the permit holder to 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 your Home Owners Association and review your deed for any restrictions 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 use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice f e
improvements to your property. A Notice of Commencement must be recorded and posted on the job a N�
lender before
AL before the first inspection. If you intend to obtain financing, consult with or an attorney �u;t
itommencing work or recording our Notice of Commencement. _ �N
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Signature of Owner/ Lessee/Contractor as Agent for Owner
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Signature of Contcto icense Holder cc
OE:
STATE OF FLORIDA
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STATE OF FLORIt*
COUNTY OF �/I-ii(.l. _
COUNTY OF
The forgo'ng inst ent was acknowledg before me
20 �' by
The f in instr ent yeas acknowled a efore me
thisday of f' 20Nby�
'
this�ay o
Fi-
Name of person making statement /
Name of person making statement
Personally Known OR Produced Identification /
Personally Known OR Produced Identification
Type of Ide " .ation
Type of Ident tion
Produced
Produced C ,
(Signature of N Vry Public- State of Florida)
(Signature of Notary Pu I' - State of Florida )
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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Rev. 8/2/17