HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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 Number: 2_01 J `I — l JM
Building Permit Application
Commercial Residential x
PERMIT TYPE:residential, single family residence
PROPOSED IMPROVEMENT LOCATION_:
Address: TBD Carlton Road, Fort Pierce
Property Tax ID #: 4210-323-0004-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Phillips
DETAILED DESCRIPTION OF WORK:
single family residence 3/2
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
✓Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
✓ Electric Plumbing _Sprinklers _Generator ✓ Roof U : Iz Pitch
Total Sq. Ft of Construction: 2 1-1S . 1
Sq.
Ft. of First Floor: I UW
A l G
Cost of Construction:$ zLi3,"it Cn.2
Utilities:
_Sewer Septic
Building Height:
19 O
OWNER/LESSEE:
CONTRACTOR:
NameHeather Phillips & Benjamin Taylor
Name: Andrew Nadalin
Address:PO Box 2436
Company:Pace 2000, Inc
City: Okeechobee State: fL
Zip Code: 34973 Fax:.
Phone No 772-203-8297
Address 445 NW Prima Vista Blvd
City: Port St Lucie State:FL
Zip Code: 34983 Fax: 772-340-7304
Phone N0772-340-7223
E-Mail:heathersmiling@yahoo.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailadmin@pace2000homes.com
State or County LicenseCBC059859
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: _ Not Applicable
Name: Joseph McCarty Architect Name: Cen--CrStai-e.l;
Address: 900 SE Osceola Street Address: F0 7C10
City: Stuart State: FL City: T�3 t \ GtS State:
77 Zip: 34994 Phone 2-497-6932 Zip: -10 Phone: 1-7.2- 231-1- ` 8-1-1
FEE SIMPLE TITLE HOLDER: x Not Applicable
City:
Zip: Phone:
BONDING COMPANY: X Not Applicable
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 az applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult w th 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 PROP RTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB Jr HE FIRST SPECTION. IF YOU INTEND TOO 0j FlNANCI CONSULT
WITH YOUR LENDER•Q�AIQ ATTORNEY BEEORE RECORDING YOUR NOTICF��TA NCEMENT."
Sign of Owner essee/Contractor as Agent for Owner
Signature o trac or License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSt Lucie
COUNTY OFSt Lucie
The for oing instrument was acknowledged before me
thisaCO day of MaJZh ,20�by
The for oing instrument w s acknowledged before me
this day ofli�QJ7� .20o�y
Ar,id reto Oa"in
Anj re.lal ti aria t h
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
Mach 9, 11'_0h)
Produced
ADJA S Ah,,Y-h
(Signature of Notary Pu ic- Std `sj, ida) Paula S. Bre er
C� '`'�=•
(Signature P blic- S`q�t}r���p, rida) Paula S. Breter
g Commission # GG030
Commission No. G(,� a3� '� Ides: :September 15 20
3 �' `-- ssion D GG0908
O:ommission No. G Q3° 15, 2
�,:
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September
Bonded thru Aaron No
thru Aaron NO
Bonded
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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