HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: May 5, 2020 Permit Number: ado 6'Oa1�
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
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F;CC�IV ED
Building Permit Applica ion MAY 12 2020
ST. Lucie County, Permitting
Address: XXXX Tree Top Trail, Ft. Pierce FI 34951
Property Tax ID #: 1407-342-0040-000-5
Site Plan Name: Jurek
Project Name: Jurek
Construct 3br/2 ba/ 2 car gar. CBS residence
Commercial Residential. x
Additional work to be performed under this permit —check all that apply:
_Mechanical
Electric
Lot No.
Block No.
_Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Plumbing _Sprinklers _ Generator
Total Sq. Ft of Construction: 2683
Cost of Construction:$ 3��oNGinjri
Sq. Ft. of First Floor: 2683
Roof 6/12 Pitch
Utilities:, _Sewer _Septic Building Height:
OWNER/LESSEE:
CjONfRACTOR::. _ m, - f ,,,.
NameJames and Erica Jurek
Name: Dave Golden
Address: 5180 Slash Pine Trail
Company: Dave Golden Homes
City: Ft. Pierce State: _
Zip Code: 34951 Fax:
Phone No. 863-801-2974
Address.4900 Indrio Rd
City: Ft.Pierce State: F1
Zip Code: 34951 Fax:
Phone No 772-216-5475
E-Mail: jurek89chobee@yahoo.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail dave@davegoldenhomes.com
State or County License CBC1253198
If value of construction is 52500 or more, a RtCURULU Notice of Lommencemem is requireu.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SOPCEMENTALGONSTFlUGFIONrLIEN IAUV INE
RIVIAT ON
DESIGNER/ENGINEER: _
Name: Todd N. smith PE
Not Applicable
MORTGAGE COMPANY:
Name: MidFmdda credit Union
_ Not Applicable
Address: 1717 Indian River Blvd. suite302
Address: 3004SFIonda Ave
City: Vem Beach
Zip: 32950 Phone 772-559-3699
State: Fl.
City: Lakeland
Zip: 33603 Phone:
State: R
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 Court 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 ONi?E JOB SITE BEFORE THE FIRST INSPECTION. IF Y9P INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU OTICE OF COMMENCEMENT."
O
J61AA/1-
Signature of Owner/ Lessee Contractor as Agent for Owner
Signature of Contra tense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 63r..\-
COUNTY OF Sk•Loc�e
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of 2G%by
this \'J day of 11\ ay 201a by
pe.a\a.
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 Fy O
Produced pL
(Signature of Notaryl Pu �e-3�C5tL�ff'R
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Commission No. a ird• '?
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ZONING
SUPERVISOR
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MANGROVE
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DATE
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DATE
COMPLETED
Rev.217119