HomeMy WebLinkAboutTruffini Permit app & Floor PlanAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `I_19&0 Permit Number:
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COUN77�
F
L
O R
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential ✓
PERMITTYPE: j���Gl�v� ���'IC�C,�-►Yi�'_c'1i"
PROPOSED IMPROVEMENT LOCATION:
Address: JQ 1 q J\iW (,tni),X_M&) W (k:q ; Paly) CIN, .3LI°i°IC
Property Tax ID #: ���,,� �Z17' �? L ' ��2 J ��G I Lot No.
Site Plan Name: Block No.
Project Name: - inlLF6ni EPsIden��e,
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 11 JOVI)
Gas Piping
Sprinklers
Shutters
Generator
Sq. Ft. of First Floor: _
Utilities: —Sewer —Septic
Windows/Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Iir1(�u-fiy)i , mf(A"\ad L 1cato a
Name:
Address:r-
toti. �I :
Company: 1�V1'1 ►i $ V-
16(�lsj(.�nrl,
City: M I rlcl. LA-oM State: Ni
Zip Code: 0 TT7 W Fax:
Phone No.
Address: U, .
City:Poll'+ S-f L(.Lb -c— State: rL
Zip Code: 311q,5'2 Fax:
Phone No R• .j 3 — Nq I
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail vl ev') 01y%t-k'r imicl
I. '
State or County License L')GJ5 1
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: _ 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 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 St. (,LLCi (� _
COUNTY OF 5t 1, U �.
The forgoing instru ent w s acknowledged before me
this day of 1�'1 2010 by
The f going instru ent as acknowledged before me
this9L day of gY1 20`_ by
m ck , l'(l 3
Name of person makingstatement.
Name of person making statement.
Personally Known " OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of NotaryPublic- Sta a of Florida)
(Signature of Notary Public- S ate of Florida )
Commission No.G62 �cl00-1 (Seal)
Commission No. ^ 2A00 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. "``r— �13
jLOPER
,a;n c, BREN DA LOPER
MYC0I0V.ISS!0N#GG234007
MYC0N#GG2
-° EXPIRES: July 1, 2022
34G07
Public Underwif ;
POT PW 5520
36" X 62"
POT HR 5510
POT SH 5500 1 PGT SH
5500
73" X 62"
36" X 62" 36" X 62"
#7
#8a #8b #8c
(Master Bedroom)
(Breakfast)
#9
PGT SH 5500
(Breakfast)
36"X62'
PGTAR 5520 #6
43" X 84" (Master Bathroom)
#10
PGT AR 5520
PGTAR 5520
(Kitchen)
43" X 84"
70' X 17"
#13
Front Door Area
#12b #12a
T PW 5520 PGT PW 5520
1' X 76" 31" X 76"
POT PW5520 #5
36' X 62" (Gues Be
T HR 5510
9" X 47"
JPGG
PGT PW 5520 #4
47" X 16" (Guest Ba
#11 POT SH 5500
(Garage) 36" X 62"
THR5510
57" X 47"
Gara aDoor
PGT PW 5520
26" X 62"
PGT
PW 5520
NOA# 19-1126.10
PGT
SH 5500
NOA# 17-0630.05
PGT
Mullbar
NOA# 17-0630.01
PGT
AR 5520
NOA# 19-1126.10
PGT
HR 5510
NOA# 17-0411.08
Project name:
Truf ini Reoidenee
12817 AW Cinnamon Way
Palm City. Ft $4990
St. Lucie County License No.: 300514
1571 SE Yeitridge to • Port St tuoie. Ft 34952
(772) 209-8481 • mathewgilmour I @gmail.00m
Scale: N.T.S.
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