HomeMy WebLinkAboutBuilding Permit Application�1
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/16/2019 Permit Number: I gig
RECEIVED
-- Building Permit Application DEC 27 2019
Planning and Development Services Permitting Department
St. Ludd Cdunty
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION`
Address: 6004 HICKORY DR
Property Tax ID #: 3402-609-0650-000-3
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
NEW CBS 3/212
CONSTRUCTION INFORMATION:
Addity' nal work to be performed under this permit— check all that apply:
JL echanical _ Gas Tank _ Gas Piping _ Shutters
3lectric Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction: 2319
Cost of Construction: $'2_v0�
Sq. Ft. of First FlI 2319
Utilities: _Sewer �ISeptic
Lot No.8
Block No. 70
i Windows/Doors
Roof 6/12 Pitch
Building Height: 19,
OWNER/LESSEE:
CONTRACTOR:
Name3033 SW Savona LLC
Name: Mark Montalto
Address:2245 Soaring Eagle PL
Company: Port St. Lucie Properties, INC
City: Lake Mary, FL 32746 State: _
Zip Code: 32746 Fax:
Phone No.772-249-0086
Address:2401 SW Monterrey Lane
City: Port St. Lucie State: FL
Zip Code: 34953 Fax:
Phone No772-249-0086
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@gmaii.com
State or County LicenseCBC 1263072
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.
r
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: _
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: r Not Applicable
Name: Bowdin G Hutchinson P.E. Name:
Address: 806 Delaware Ave Address:
City: Fort Pierce State: FL City: State:
Zip:34982 Phone7725215411 Zip: Phone:
FEE SIMPLE TITLE HOLDER: [Not Applicable I BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Address:
City:
Zip: Phone:
Applicable
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 BEF�ORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOURAiENDER OR AN ATTORNEY BEFORE RECORDING YOUR NCWCE OF COMMEljQ4IENT.'
Signal a of wner/ Less a/Contractor as Agent for Owner
Signa ure of Contractor License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFst lucie
COUNTY OFst• Lucie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 17th day of December 20_ by
this 17th day of Derxmebr 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
Producced—
Produced
(Si (nafure of Notary Public- State of Florida
(Signature of Notary Public- tgtof Florida )
wY?"••. MICHELLELOBjjljTjp
Commission No. ;:a !t=. �G'S9
isslon#
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.:a "'C ME LOBRUTTO
Commission No. :'x` " t'e hP "Id
64
i? Via: Expires January 12, 2024
Ca tsar 013G912684
P ;` Expires January 12, 2024
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Rev.2/7/19