HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
6/14/2019
Date: SCANNED Permit Number:
BY
�T W I St. Lucie Coutl4g� - RECEIVED
Building Permit Application SUN tq 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Uxle County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: Rcv�iSJa�ov�
PROPOSED:IMPROVtMENT LOCATION:
Address: 8400 Muirfield Way
Property Tax ID #: 3328-802-0038-000-3
Site Plan Name: POD 27 AT THE RESERVE MUIRFIELD REPLAT LOT 35 (OR 3759-2407; 3862-2153)
Project Name: Muirfield Way Bathroom Remodel
I'DETAILED OESCRIPTION OFWORK: `
Bathroom remodel with/(new interior partitions (non -bear w (non -bearing), electric, and pl
e -1 a..,t,r nv'1" lA„ r J)0CU / / A 7L C hone zz /
CONSTRUCTION INFORIVIATIONt
as per the
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 159/;,/ Sq. Ft. of First Floor: 2112
Cost of Construction: $��� %'L,'7II �/� Utilities: —Sewer _Septic
i
Lot No. 35
Block No.
Windows/Doors
Roof Pitch
Building Height: 20,
OWNER/LESSEE:
CONTRACTOR:
Name Chris Barrington & Janet Schlembach
Name: Eamon Walsh
Address: 8400 Muirfield Way
Company: Eamon Walsh Construction, Inc.
City: Port St. Lucie State: _
Zip Code: 334952 Fax:
Phone No. 954-261-6157
Address: 2334 SE Shelter Drive
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No 305-393-0992
E-Mail:jls5th@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail custombuilder.designer@yahoo.com
State or County License CBC1251343
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION-
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City: State: _
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
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 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 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 COMMENCEMEI""
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA 5 1 I . '
STATE OF FLORIDA r , , G�
J�
COUNTY OF U 1CAIt —
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COUNTY OF W
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _)_�idayof .Utl1 ,20jqby
thisqc4dayof_r(1,tL 20 by
tarfmcr-, r W GL Ll9
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Name of person maki g statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced f) �
Produced
Q /j�
(Signature of Notary Pub State of Florida)
(Signature of Notary P li - Sta f Florida )
"ya• ELI�N�VAUGHN
Commission No. , :� �s'% ��"""''
fate of on a -Notary Public
Commission No. o`��' "�a;�, EI(
`y VAUGHN
�: State
Commission # GG 270079
- o Florida -Notary Public
F Commission # GG 2700 79
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