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Home My WebLink AboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: \ � \ 9 � %.0 Permit Number: a 001.-0 oZ�o O %T 5 W(PaE—Q—Z` - COUNTY FLO R. 1 DA-446 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 RECEIVED Building Permit Applilc tionJAN 15 ('020 ST. Lucie County, Permitting Commercial Residential X PROPOSED IMPROVEMENT LOCATION: Address: 405 SE Gasparilla AVE Port Saint Lucie, FL 34983-2213 Property Tax ID a: 3419-530-0089-000-0 Lot No.12-13 Site Plan Name: Project Name: JOHN POLI DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: Mechanical X Electric _ Gas Tank _ Plumbing Total Sq. Ft of Construction: _ Cost of Construction: $ 41300 Block No. _ Gas Piping _ Shutters — Windows/Doors _ Sprinklers _ Generator _ Roof Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: Pitch OWNER/LESSEE: CONTRACTOR: NameJOHN POLI Name:CAMERON CHRISTENSEN Address:405 SE Gasparilla AVE company: MOMENTUM SOLAR city: Port Saint Lucie State: _ Zip Code: 34983 Fax: Phone No. 772-834-9428 Address:6001 HIATUS RD #3 city: TAMARAC State: FL zip Code: 33321 Fax: Phone No 321-247-6073 E-Mail: FLPERMITS@MOMENTUMSOALR.COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail FLPERMITS@MOMENTUMSOALR.COM State or County License CVC57036 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:. Name: MINA MAKAR Address:61 Winding wood Dr Apt 813 City: SAYREVILLE State: FL Zip: 08872 Phone 551-689-5068 FEE SIMPLE TITLE HOLDER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable 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 CountyY makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in co , ict 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 Y01M LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT Signature fOwner/ Lessee/Contractor as Agent for Owner Signaturebf Contractor/Licens older STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LUCIE COUNTY COUNTY OF ST LUCIE COUNTY The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 14 day of JANUARY 20 20 by this 14 day of JANUARY , 20 n by So�N p01_I Cr�rmF vom C+W%S'Te0Se i Name of person making statement. Name of person making statement. Personally Known OR Produced Identification X Personally Known X OR Produced Identification Type of Identification Type of Identification Produced DL Produced Z""44//-4 W-1 rFFNAASHLEYHI (Sig e o of ry Pu i at of oar 1 - WtW'PIBhVipj tate of Florida GEENA ASHLEY HIDALG . • Commission # GG 341777 J k' Noteypp ylic•State of Flor' mission No. =• •= -,+•w a°;o°' My Com�ppss-s-ifpf Expires ommission No. �� Jun!�2023 y CorrAA''ii�t�4 9Sion # GG 34177 My Commission Expires ,,�_ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED 1 DATE COMPLETED Kev. z///19