HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE
)IN)F)O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q /
Date: /' //' Permit Number:
T.j
Building Permit Application JAN 112018
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 Residential XXX
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 340 TRAUB AVE. FT. PIERCE, FL
Legal Description. REGINA PALMS S/D BLK 9 LOTS 17 AND18 (0.34 AC) (OR 1579-1984)
Property Tax ID#: 3403-501-0229-000-5 Lot No.
Site Plan Name: Castleman Roof Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers Generator RoofK�g Roof pitch
Total Sq. Ft of Construction: 3200 SFt.of First Floor:
Cost of Construction:$ 9000. Utilities:n Sewer E]Septic Building Height: 1 story
OWNER/LESSEE: CONTRACTOR:
Name Beverly Blevens Castleman Name: Villanova Construction Inc.
Address:340 Traub Ave. Company: VILLANOVA CONSTRUCTION INC.
City: FT. PIERCE State:FL Address: 2908 OLEANDER BLVD.
Zip Code: 34982 Fax: City: FT. PIERCE State:FL
Phone No.772-284-6332 Zip Code: 34982 Fax:
E-Mail: Phone No. 772-940 6654
Fill in fee simple Title Holder on next page(if different E-Mail: rayvillan@aol.com
from the Owner listed above) State or County License: CCC 1327240
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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 TITLE HOLDER: _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 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 ob 'n financing,consult with lender or an attorney before
commencingwork or recordingour Notice o cement.
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"Y. JANUARY
this�day of JANUARY 20_ by Qa�Qi.*�Y,o;,;on this I� day of 20_ by
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Name of person making statement Name of person making statement
Persorfally Known OR Produced Identification's Personally Known OR Produced Identification
Type of Iden tifis ion Type of Identificatio
Produced Produced
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(Signature of N ry Public-State of Florida IV (Signature of Nota V
ublic-State of Florida
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17