HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
Date: 12/16/2019 f 1 � OZ, • D
PermitNumber:
- Building Permit Application Perm, e9o@
Planning and Development Services St9
Building and Code Regulation Division He c bJn�ent
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE: ,
PROPOSED IMPROVEMENT LOCATION:
Address:JBB Bradly St �� 03
Property Tax ID #: 3402-608-0441-000-2 Lot No.1
Site Plan Name: Block No. 52
Project Name:
DETAILED. DESCRIPTION OF WORK:
NEW CBS 3/2/2
CONSTRUCTION INFORMATION:
Addnal work to be performed under this permit —check all that apply:
Y
iYy echanical _ Gas Tank _ Gas Piping _ Shutters
3lectric Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction: 1955
Cost of Construction: $ 189,900.00
Sq. Ft. of First Flo : 1953
Utilities: _Sewer 4eptic
j Windows/Doors
Roof 6/12 Pitch
Building Height: 15'
OWNERAESSEE:
CONTRACTOR:
Name Robert Vincent Moulton Jr
Name: Mark Montalto
Address:3664 SW 30th AVE
Company: Port St. Lucie Properties, INC
City: Palm City FL State: _
Zip Code: 34990 Fax:
Phone No.772-249-0086
Address:2401 SW Monterrey Lane
City: Port St. Lucie State: FL
Zip Code: 34953 Fax:
Phone N0772-249-0086
E-Mail: PSLPROP1 @GMAIL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailpslpropl224@gmail.com pslpropl@gmall.com
State or County License CBC 1263072
jr value oT construction is,,zbuu or more, a REWROEO Notice of commencement Is required.
If value of HVAC Is $7,500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Bowdin G Hutchinson P.E.
Name:
Address: Bas Delaware Ave
Address:
City: Fort Pierce State: FL
City: State:
Zip: 34982 Phone 772-521-5411
Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable
BONDING COMPANY: of 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,
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 LEWER OR AN &UPRINEY BEFORE RECORDING YOUR N0310E OF COMM CEMENT."
Signatur of Owner/ Less a/Contractor as Agent for Owner
Sigpiture of Contrart r/Licens Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFst rude
COUNTY OFsL Lude
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 17M day of December 20_ by
this 17th day of Decemehr 20_ by
Mark Montalto
Mark Montalto
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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,'•';oti�?°' BondedllvuhoyFelnlnsurance 80039N019
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PLANS
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REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
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REVIEW
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DATE
RECEIVED
DATE
COMPLETED
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