HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential ✓
PERMIT TYPE: Single Family Residence
PROPOSED IMPROVEMENT LOCATION:
Address: 4800 Seagrape Drive
Property Tax ID #: 3402-608-0117-000-2
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Construct a 3/2/2 Single Family Residence
CONSTRUCTION INFORMATION:
Lot No.1
Block No. 42
Additional work to be performed under this permit — check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric ✓Plumbing _ Sprinklers
Total Sq. Ft of Construction: 2,049
Cost of Construction: $ 157,773
Generator Roof Pitch
Sq. Ft. of First Floor: 2,049
Utilities: _Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name GWe.Y-\CA0(1'1 i-i.xVcJvi�gS
Name: John A.Groza
Address: .c t -i
Company:Groza Builders,lnc.
City: � State:
Zip Code: Fax:
Phone No. 1'12 — QLui " cnq"Q-
Address: 511 SW Port St.Lucie Blvd.
City: Port Saint Lucie State: FL
Zip Code: 34953 Fax:
Phone No772-336-7653
E-Mail:�p5�ai I. Gc�jw
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail Tony@grozabuilders.com
State or County License CGC1 524734
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
Name: C_"ris &er'S
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 510q G'rc4,el
Address:
City: Nor -1-I1 Par - State: IFL
Zip: 3gaq ( Phone qql-LP'4P -C�35
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: 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 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."
Sign�fure of Owner/ Lessee/Contra_/* as Agent for Owner I Sig*ure of Contractor/Ljrense H
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S_ LI,I.0 � e _ COUNTY OF S_� ,l
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this )-V day of 20ZQby this day of 20 by
john At�i+n o R C C0 71 C)
Name of person making statemen . Name of person making statement.
Personally Known ) OR Produced Identification
Type of Identification
Produced
0
(Signature of Notary Public- State of
W44a•-t
Commission No. �� �J
"° :, BRIANNA GRAHAM
=2% A )MY COMMISSION #GGO(
b EXPIRES: APR 02, 20'.
Bonded through 1st State Ing
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Personally Known !� OR Produced Identification
Type of Identification
Produced
—{Si nature of Notary Public- to of Fra )
�1z9-
BRIANNA GRAN
� mission No. 6 , .2.�tisAIYY COMMISSION #G(
EXPIRES: APR 02,
Bonded throuah 1st State
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW I REVIEW REVIEW REVIEW REVIEW