HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (� Permit Number:
V�" SCANNED �6 �•
a a - BY 2017
Building Permlil*plll6tion SEP 2 8 PERMITTING
Planning and Development Services St. Lucie County, Ft.
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Renovation
Address: tY)4.o S- O(. bI by. \k0b 3ZYr C_LA P2L(lf,('tl �1_1
Legal Description: The Miramar II Unit 1133
Property Tax ID #: 4502-702-0048-000/6
Site Plan Name: nla
Project Name: Miramar II
Setbacks Front Back:
Right Side:
Left Side:
Remove wall in kitchen, drop ceiling in kitchen, change valve in guest bath.
/70;7- o/S/.S
Lot No.
Block No.
CONSTRUCTION INFORMATIONi'
niona wor to e e orme un
11HVAC Gas Tank
ert ispermit—c ec
Gas Piping
a
appy:
_ Shutters
❑ Windows/Doors
11 Electric ❑✓_Plumbing
Sprinklers
Generator
Roof Roof
pitch
Total Sq. Ft of Construction: 1000
S
Ft. of First Floor:
Cost of Construction: $ 76423.00
Utilities:cn
Sewer ElSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name C, . LLV
Name: a iYl7 5
Address: aL, W trrl_t-� by.
Company: Agler Kitchen, Bath & Floors, Inc
City: AIMVAr+ uk,� State:MI
Zip Code: 48629 Fax:
Phone No. 989-366-5698
Address: 1970 NW Federal Hwy Ste A
City: Stuart State: FL
Zip Code: 34994 Fax: 772-692-0070
Phone No. 772-692-0077
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: ladeene@aglerinteriors.com
State or County License: CBC1250637
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
ucamarrcry crvuumccrc: _ rv0c t+,ppucauie MORTGAGE COMPANY: " Not Applicable
Name: Name: IA,� a
Address: Address:
City: State: City: Stuart State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: ✓ Not Applicable BONDING COMPANY: ✓ Not Applicable
Name: NkName: V l
Address:m& w 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
4 &'r
4t, (t i
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF
COUNTY OF 0_�_bYN
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this )5' day of Sg o3� 20-{ by
this ,k�' day of Comic w V_x A, 20n by
1L _ �ns�� L� Y�ry� it nIL1Yln
� r. �,1.. n .:y�A ! c� l�ry� •c , 1�Cj!f�oY�
Name of person making statement
Name of person making statement
Personally Known Off- OR Produced Identification
Personally Known RC. OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- Sta
MONTGOM
ure of Notary Public- State of F
R
, MONT
.,, HANTAL
Commission No. fa2anommission#FF9248
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October 6, 201
5Com ission No.El'F�Ia.'A_-]�
!4411NTAL
'j' Commission#FF
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y Expires October
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
/O
RECEIVED
/7
DATE
COMPLETED
3
Rev.8/2/17