HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (Dg
Date: S as Permit Number: a.baS-dS
• MAY 2 7 2020
�-�---�- Building Permit Applicat' Lucie Count
Planning and Development Services Y PerrNttmg
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: SINGLE FAMILY RESIDENTIAL
PROPOSED IMPROVEMENT LOCATION:
Address: 1807 Hazelwood Drive, Fort Pierce, Florida 34982
Property Tax ID #: 2433-502-0027-000-2
Site Plan Name: ESTATES OF LONGWOOD—CIC10 RESIDENCE
Project Name: CICIO RESIDENCE
Lot No. 27
Block No.
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION OF A CBS SINGLE STORY SINGLE FAMILY RESIDENCE WITH FOUR BEDROOMS, THR
ONE HALF BATHS. 3187 sq. feet of a/c area and 4,581 total square footage under roof. Two car garage
I CONSTRUCTION INFORMATION: I
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 Pitch
Total Sq. Ft of Construction: 4,581 Sq. Ft. of First Floor: 4.581
Cost of Construction: $ 400,000 Utilities: —Sewer XSeptic Building Height: 25'
OWNER/LESSEE:
CONTRACTOR:
Name Christopher M. and Shana K. Cicio
Address: 5852 NW Leah Drive
Name: SUSAN BARBER
Company: GEM BUILDERS, INC
City: Port St. Lucie State: _
Zip Code: 34983 Fax: NONE
Phone No. 772-370-3743
Address: 1321 LONE PINE DRIVE
City: FORT PIERCE State: FLI
Zip Code: 34982 Fax: NONE
Phone No 772-201-8434
E-Mail:—cscicio@bellsouth.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail susiegem3@bellsouth.net
State or County License CRC036620 STATE
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:
Name: JAVIERCISNEROS
Address: 5903 SPRUCE DRIVE
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: CENTERSTATE BANK, NA
Address: 1951 8TH STREET NW
City: FT. PIERCE
Zip: 34982 Phone
State: FLA
City: WINTER HAVEN, State: FLA
Zip: 33881 Phone: 863-804.0281
FEE SIMPLE TITLE HOLDER:
Name: SAMEASOWNER
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name: NONE
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 ppermit will authorize the ppermit holder to build the subject structure
which is in conflict with any applicable Home Owners Assoc ation 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
-YARNING TO ER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
OR IMPROVEMENTS TO YOUR PROPERTY. A NO MMENCEMENT MUST BE RECORDED AND
STED ON THE J S� BEFORE THE FIRST INSPE. IF YOU ENDrTO OBTAIN FINANCING, CONSULT
rru unite r eunen n .tar Al noNCv ceenne oern000000rrfff(nnnnnnrmr vnl lO Yn C rnMMCYrampoi1T
Signa wner Contr` a� Agent for Own
tare of Contractor/License Holder
OF O� sSTATE
'�+
FFL
COUNTYOFSTATE
4
� Llr� e
J I%
COUNTY OFF `J-r
COUNT
The oin instru t was acknowledge before me
Sgrg g
this(,j,_ day of 20
The f oing inst en w s acknowled a before me
g
this day of 20 y
y
_'�llStin f3a..yhPlr
—il-LQn eas be
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known __V_ OR Produced Identification
Type of IdentificatiX
Type of Identification
Produced
Produced
(Signat NIDPc- o I
(Signatur fJlahalywD '
Notery Public Sate or Florida
Melanie A BerOBr
Commission No. Mieslon10 4k292
y N_kiotary Public State or Florida
�' Melanie A Berber
Commissio CCeal
a w Empires 10/27/2023
n 00 B28 7
Expires l0/27/2023
or w
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.