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BUILDING PERMIT APPLICATION
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 Date 1 8 �'� �' Permit Num e : / Q� % J8 SCBYNED St. Lucie County Building Permit Applicatio OCT 10 2018 Planning and Development Services Pe. mittir .� ;;:2Pa Building and Code Regulation Division , I-tm e n t 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie Count�,� FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial_ Resi en ' PERMIT APPLICATION FOR: Renovation PROPOSED IM_PROUE_MENT LOCATiION: Address: Qg60 S. 00-" • Wik 504 J{..xv aly► i '�°l5� Legal Description: The Miramar II Unit 504 Property Tax ID #: 4502-702-0019-000-4 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION ©F WORK: Remodel kitchen and two bathrooms. Remove wall and drop ceiling in kitchen, move electric to other walls, add electric to island cabinet. Master bath -remove tub & shower, bidet to enlarge shower. Move shower valve, add recessed lights. Guest Bath -remove shower and re -tile. CONSTRUCTI®N INFORMATION: Additional worK toe e orme under tispermit—c ec a appy: 11HVAC �GasTank E]GasPiping Windows/Doors _Shutters RiElectric OPlumbing ❑Sprinklers Elenerator D Roof Roof pitch Total Sq. Ft of Construction: 350 S . Ft. of First Floor: Cost of Construction: $ 33565.00 Utilities: Sewer Dseptic Building Height: i OWNER/LE--.)0t— CONTRACTOR: Name JuSc l 4 r; Name: Address: �;S FJDb 0 Un IC l-Vl • Company: A91er Kitchen, Bath & Floors, Inc City: OWYA PWIr State: NY Address: ►pli0 VIV) � City: a'tjAG t- State: FL Zip Code: 11768 Fax: -- Phone No.631-897-8908 Zip Code: 34994 Fax: 772-692-0070 E-Mail:JenniGarl@gmail.com Phone No, 772-692-0077 Fill in fee simple Title Holder on next page (if different E-Mail: ladeene@agledntedors.com State or County License: CBC1250637 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTALCON STRUCTION LIEN.LAW INFORMATION DESIGNER/ENGINEER:_ Not Applicable Name: MORTGAGE COMPANY: x Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: A Not Applicable Name: BONDING COMPANY: x Not Applicable 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 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. I� ICU n &_� �J= A OL c &Ai Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA t COUNTYOF W"r% COUNTYOF Iy�UNits The forgoing instrument was acknowledged before me The fo going instrument was acknowledged before me this � day of r�t��/ 20,� by this day of Q(.ko4 . 20 Id by ��• Wier �- uloeeo-t "&U&- go Name of person making statement Name of person making statement Personally Known A OR Produced Identification Personally Known X OR Produced Identification Type of Identification Type of Identification Produced Produced Signature of Notary Public- S of Flor (Signature of Notary Public- a e oftiida)IrF No. TSI TALMONLn yOm issionNo.Clatlg�Ccunission#F�c yg H.CHANTAL MONTGOMCommission mmission#FF92 Expires Octob0t�3=ExpiresOcloher' .-"j Bbk¢diM1 imyFM ln¢uen 19 o;�;,oaitlaEiMUTnY Fwft REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED t DATE COMPLETED i Rev.8/2/17