HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: `� -aoa� �Of Permit Number:
:o� •rn 9
-.-_ Building Permit Application pb d
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 X
PERMITTYPE:SFR NEW CONSRUCTION
PROPOSED IMPROVEMENT LOCATION:
Haaress• -- viv nu, r i riamurz rL 04b.101
Property Tax ID #: 1313-502-0038-000-0
Site Plan Name:
Lot No.461
Block No.
Project Name: CHALOUX, J RESIDENCE
DETAILED DESCRIPTION OF WORK:
SRF: 4 BEDROOM, 3 BATH, 3 CAR GARAGE
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
✓ Mechanical _ Gas Tank _ Gas Piping
e/Electric v/Plumbing Sprinklers
Total Sq. Ft of Construction: .-' � a QQ S
Cost of Construction: $3bin.qgg -C)D Utilitie
_Shutters Windows/Doors
_ Generator _ ZRoof Pitch
Sq. Ft. of First Floor: 'Q . !F
s: 44tewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJOHN CHALOUX
Address:33 FALVEY ST W
Name:ROBERT CENK
Company;HOMECRETE HOMES INC
City: SPRINGFIELD State: M—PE
Zip Code: 01089-1230 Fax:
Phone No.413-204-0071
Address:2162 NW RESERVE PARK TR
City: PORT ST LUCIE State: FL_
Zip Code: 34986 Fax: 772-873-6686
Phone N0772-873-6707
E-Mail:JCSCJC@COMCAST.NET
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
is
E-Mail BCENK@HOMECRETEHOMES.COM
State or County LicenseCGC062378
-•-- -• --•• •• r� �� ....� _, a n=�vnucv ivucice or commencement is requireo.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLE MENTALCONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: N2 ARCHrrECTURE & DESIGN
MORTGAGE COMPANY: Not Applicable
Name:
Add ress:2d8+ BE CCEM BLVD SUITE to
City: STUART State: FL
Zip. 34988 Phonerl2-22a-04,t
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
City:
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 ancicovenants 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 OMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NO ICE F COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTI N. IF YOU INTEND TOOaOBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDI G NR N0 10E OF MENCEMENT e
nature of Owner/ Lessee/Contractor as Agent for Owner
gnatu on actor/License Ho
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF_,ST UUCP_
COUNTY OF ST LUCI E
The fo ing In t ument was acknowledged before me
this 20JI by
The forgoing Insfcgment was acknowledg before me
W
ay of� -yU �
Jdayt canal IL
this ay of _P�QLQ.,tI) , 20 by
PtAW'r L ilf,& L
Name of person making statement.
Name of person making state Tit.
Personally Known OR Produced Identification
Personally Known 7 OR Produced Identification
Type of Identificyaation
Type of Identification
Produceil. �C 'OuoR
Produced
(Signature of Notary Public- State of
of Notary Public- ate F o '
Notary PubOe StaOe
Ma6sae D Sh
Commission No.�Q104,S I): MVS
of Iona Notary Pubho State of
. . Melissa D Showma
?"Sniss' n No. '-1�4445 g a o�aelm GG 2
T E*hl 0M24/202
9 �' ree01M 2023
REVIEWS
FRONT
ZONING
Vvy
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
tev. y iI1tl