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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION.. 4-4d .., All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / Date:- q 3-22, )0 SCANNED Permit Number: �� - p % Y A Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 BY St. Lucie County Building Permit Appl : III—�� e } ..K y T h mN MAR 2 S 2019 Permitting Department Commercial R t' qie County, FL PERMIT TYPE: Kitchen & Bath Remodel Address: 7802 Long Cove Way Property Tax ID #: 3321-803-0088-000-0 Lot No.84 Site Plan Name: Reserve Plantation - Phase IIA Project Name: Renovate kitchen and bathroom, relocate some non -load bearing partitions, electrical and plumbing Additional work to be performed under this permit— check all that apply: Block No. _Mechanical _Gas Tank, _Gas Piping _Shutters —Windows/Doors I- Electric -X Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: _ Cost of Construction: $ 30000 Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: Name David A $ Adene D Wilkerson Name:Joseph Zangre Address:209 Truitt Ave Company:The Z Group,LLC City: Milford State: o M Zip Code: 19963 Fax: Phone No.203-228-3414 Address.2586 SE Stonebriar Way City: Stuart State: FL Zip Code: 34997 Fax: Phone No772-263-0621 E-Mail: drwilkerson@verizon.net Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mailzgroupllc@bellsouth.net State or County LicenseCRC 017467 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. M •'*1rt rW''r Osa'rt'•• - r SU .LEMENTAt G(}NSTRU ©IV ' N L,4, �1NFOE�MAT10tV }8 '} P's §. +Wn tep? F 3 9 n:' 4 .• b ��. - DESIGNER/ENGINEER: Name: x Not Applicable MORTGAGE COMPANY: X Name: Not Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: Not Applicable BONDING COMPANY: Name: Not Applicable 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 Court 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 FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF MMtflnL' COUNTY OF MIt7f-1-11— The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this�P ?dayof mrtrch 20L by this 2-8 dayof M47t491- 211/1 by t ZaeeA-, I C n;M- T u n e Zam n r' Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced4 Produced &_ L (Sig a re of Notary Pu - Sta F r' i inatuf of Notary Public ate of Florida ) Commission No. (� Co �c% i;••., GERTRUDEZACCAI I)NotaryPublic - State of Flol dCo mission No. ea 9�.� ',. CommissianCGG 07914 +,y ;„i yP�4 •; GERTflUDE ZACCAI ,b: Notary Public - State ofFlari My Comm. Expires Apr 13,2 21 '••..,....• s rwg Natia,ulNota nss¢ ��.`f ly Comm. Expires Apr 13,2 ZONING REVIEWS FRONT NS VEGETATION S 7 tE e MA "a,y COUNTER REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 217/19