HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I'ODA-Zi0 Permit Number: eC1/lJl -C35&
-I Vf5:, RECEIVED
- - - - Building Permit Applicatio JAN 21 2020
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:NEW 2 STORY CBS HOME
PROPOSED IMPROVEMENT: LOCATION:
Address: 10751 S OCEAN DRIVE, JENSEN EBACH, FL 34957 Al
Property Tax ID #: 4511-311-0017-000-8
Site Plan Name:
Project Name:
DETAILED, DESCRIPTION OF WORK:
REMOVE OLD TRAILER, BUILD NEW 2 STORY HOME CBS
CONSTRUCTION INFORMATION:
Lot No.
Black No.
Additional work to be performed under this permit— check all that apply: /
4mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors
X Electric Plumbing _ Sprinklers _ Generator Roof ` Pitch
Totfffa"""ll Sq. Ft of Construction: V3� /J Sq. Ft. of First Floor: 2 ;�d Z'
Cost of Construction: $ �5e, 0 `O 6 Utilities: Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameVINNY GAROFALO
Name: MACK MATOS
Address:10751 S OCEAN DR Al
Company: MEL-RY CONSTRUCTION
City: JENSEN BEACH State: _
Zip Code: 34957 Fax:
Phone No.772-229-0012
Address- 10b67 S OCEAN DRIVE
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax: 772-229-9440
Phone No772-229-9439
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailMACK@MEL-RY.COM
State or County License23630
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, IAW INFORMATIONS
DESIGNER/ENGINEER: _ Not Applicable
�e
MORTGAGE COMPANY:
_ Not Applicable
Name:Rcg'• '. �g ra f^
Name:
Address: �`i st COCOnn/s-- AU-.;"-
Address:
City: � �/ a0 vz State:
City:
State:
Zip: "t / & Phone 7 4S7-
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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,
accessary structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO R§GO1ffi A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOU ROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED N THE JOB SiTE BEFO E FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN A RNEY BEFORE RECORDING YOUR NOTRE OF COMMENCEMENT."
Sign e a caner
Lessee/Contrador as Agent for Owner
Signature of Contract r/License Holder
STATE OF FLORIDp
I,n
STATE OF FLORIDA -
COUNTY OF
` i . r�
COUNTY OF S" L.Vc. i
The forgoing Instru ent was acknowledged before me
The f rgaIng instrumgnt was acknowledged before me
this day of
h� �_ .20— by
this17dayof hen 20z by
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1 O
N eot 11t/w, r
Name of person
Initaking statement.
Name of person making tement.
Perso I caw--
rAduced Ident�gj
Personally Known OR Produced Identification
Type o t
a ton s3� notary Public -State of Fiori
pe of Identification
Produced
,
Commission Of 007071
oduced Naxry paNk Sure olFlOrNa
Mr Comm. Expires OM 12.2
0 Brian R Schafer
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ExpiM 03IM023
(Signature of Notary Public- State of Florida )
(Signature of Notary Public -State of Florida )
Commission No.
(Seal)
Commission No. (Seal)
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Rev. 2///19