HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:\'a-\I'd'j\ T�i16d 104, Permit Number:
RECEIVED
Planning and Development Services
Building and Code. Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: [�
PROPOSE DfMPROVEMENT LOCATION;
Address: 123 Queen Frederika Court
CGJ 6- � �� DEC 23 ^919
Building Permit Appl c�tige-County, permitting
Commercial Residential
PropertyTaxlD#: �y\�-1al-aa3S�c9aC-d
Site Plan Name: 123 Queen Frederika Court
Project Name: Cox residence
DETAILEDDESCRIPTION OF WORK:::
New SFR
Additional work to be performed under this permit- check all that apply:
_"Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric ✓Plumbing _ Sprinklers _ Generator
Lot No.
Block No.
Windows/Doors
Vll'oof (D 1 v Pitch
Total Sq. Ft of Construction: 3z)6' 3 Sq. Ft. of First Floor: 3 3
ey n
Cost of Construction: $ ai 7s 00-0 Utilities: -Sewer t�Septic Building Height: 3
OWNER/LESSEE:,
CONTRACTOR:
NameTammi Cox
Name: Karen Gordon
`
Address:
N��/ Mzi-itan A k 2,/----
Company: Paradise Homes Group
�'�F� ����/
City: OY-fc" QS�'%N ca , Stat Ft-
Zip Code: 31 f ! 8� Fax:
Phone No. �? 8 -7 3 V - 3 °� �`�
Address:575 NW Mercantile Place #109
City: Port St Lucie State:fl
Zip Code: 34986 Fax: 621-4664
Phone N0359-8472
E-Mail: Gw�a t
_
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
t Co t � � A
E-Mail karen@paradisehomesfl.com
State or County License CGC1518913
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.- -4 -- -
r�f vKl+F%%r,' Q 10G1r-
C
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ErNGINEER:
Name: lj
_ Not Applicable
MORTGAGE COMPANY:
Name:
of Applicable
Address: 37 �� /�
�� (V - Q v ��
Address:
City: L- oc-ow
Zip: '3L9Z-7 Phone
State.
3 1- TL -Z
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
BONDING COMPANY:
Name:
Azlot Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
[.V L/
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtai a permit ti'LotdoLA the Lwork and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit DEC
y
^fit
St. Lucie County makes no representation that is granting a permit will authori a the permit ho der to build tl7e subject structure
which is in conflict with any applicable Home Owners Association rules, bylaw o a d cpv@Hants that may re trict or prohibit such
structure. Please consult with your Home Owners Association and review you d �dlugggp §ttitt hic 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee Con actor as Agent for Owner
Signature of Contractor/Lice se der
STATE OF FLORIDA
COUNTY OF ��r C,�-rw
STATE OF FLORID
�� i
COUNTY �a {
OF
The forgoing instruNent was acknowledged before me
this _O day of "b l 201� by
The forgoing instru Q,t`w s acknowledggt�before me
this day of OV V `� 2- '1 by
Name of person making statement.
Name of person making statement.
Personally Known Ll_�OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
f`
DAVIDPAOLET`1
ry Pubiloa el
(Signark7�
(Signature o 8f I' G%V
SaDteinb�
PIRES:SOComm:IRES:
Commission
t
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
la` III
DATE
COMPLETED
I
Rev.2/7/19 I 1 N/