HomeMy WebLinkAboutBuildingPermitApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
C(XJNTY
F L D R l D A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1SS3 Fax: (772) 462-1S78
Permit Number:
Building Permit Application
PERMIT TYPE: Single Family Residence
PROPOSED IMPROVEMENT LOCATION:
Address: 305 Bay St. Port St Lucie, FL 34952
Property Tax ID #: 3419-510-0291-000-7
Site Plan Name:
Project Name: FY445
Commercial Residential X
Lot No. 10
Block No. 20
DETAILED DESCRIPTION OF WORK:
;onstruct a new single family home with 3 bedrooms, 2 bathrooms, and 2 car garage.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
X Mechanical _ Gas Tank _ Gas Piping _ Shutters X Windows/Doors
X Electric X Plumbing _ Sprinklers _ Generator X Roof 4/12
Total Sq. Ft of Construction: 2,205 Sq. Ft. of First Floor: living SF 1,597
790
Cost of Construction: $ 83,Utilities: X Sewer _Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Synergy Homes, LLG
Name: Synergy Homes, LLG
Address: 581 NW Mercantile PI, Suite 106
Company: Synergy Homes, LLC-
City: Port St Lucie State: FL
Zip Code: 34986 Fax: _
Phone No.
Address:581 NW Mercantile PI, Suite 106
City: Port St Lucie State: FL
Zip Code: Fax:
561 -309-8424—
Phone No
E-Mail: jeremyCa,)synergyhomesfl.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail mallory(-a-)synergyhomesfl.com
—
State or County License
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: X Not Applicable
Name: Liman uonzales Name:
Addr s: Its/4 I-ticnara Ln Address:
City: "Paim Springs State: rL City: State:
Zip: 664U13 Phone - 4y-OUZU Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: X Not Applicable
Name:_
Address:
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 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."
`.. Q—
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _ day of 20_ by
this 2APday of J L)n Q 20�C), by
N 0 (-11f t S
Name of person making statement.
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 Notary Public- State of Florida)
;OCHERSPERGER
(Signature of No=49
Commission No. (Seal)
Commission No.SS10N4GG201S24
March 29.2022
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Rev. 2/7/19