HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��� 3--OH ! s
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Building Permit Ap
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT TYPE:
Address: 5417 CASSIA DR
------ MAY 2 0 2020
Permitting Department
Property Tax ID #: 3402-610-0107-000-6 Lot No.
Site Plan Name: INDIAN RIVER ESTATES -UNIT 09- BLK 73 S 1/2 OF LOT 23 AND ALL LgTOYNo.
Project Name:
DETAILED DESCRIPTION OF WORK:
NEW CBS 3-2 no garge
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
XMechanical _ Gas Tank _ Gas Piping _ Shutters
x Electric XPlumbing _Sprinklers
Total Sq. Ft of Construction: 2148
Cost of Construction: $ 208,900.00
_Generator _
Sq. Ft. of First Floor: 2148
x Windows/Doors
x Roof 6/12 Pitch
Utilities: _Sewer XSeptic Building Height: 16-5
OWNER/LESSEE:
CONTRACTOR:
Name Anthony F Giaccone
Name: R—arlEmolitalto
Address: 5809 NW Erin AVE
Company: Port Saint Lucie Properties, INC
City: PSL State: FL
Zip Code: 349863 Fax:
Phone No. 772-370-1869
Address: 201 SW PSL BLVD Suite 103
City: PSL State: FL
Zip Code: 34984 Fax:
Phone No 772-249-0086
E-Mail pslprop1224@gmail.com PSLpropI@gmail.com
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License cbc1263072
If value of construction is $2 00 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 IN
RRMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Bowdin G Hutchinson PE
806 Delaware AVe
ORT A E C MPANNYY:: Not Applicable
Name, TQLVV__
Add
City:r ss: State
Zip: Phone:
City: FortPierce State: FL
Zip: 34982 Phone 772-521-5411
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: _Not Applicable
Name:
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 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 BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AMATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
r"
[gr atuI6 of 0 ner/ 1. ee/Con ractor as Agent for Owner
f Signa re of C ntrac icens older
STATE OF FLORIDA
STATE OF FLOID�
COUNTY OF St. Lucie
COUNTY OF t. ucie
The for oing Instrument was acknowledged before me
6T MaY 20
The fo oing instrument was acknowledged before me
May
this day of 20 by
this day of 20 200y
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
Produced
Produced
(Signature of Notary Publi - of FWk{k�LOBRUTTO
MAk
ign ur of Notary b td�llBtliBdIpQRUTTO
R' Commisslon#G0912684
�: E;; Commission#GG912684
Commission No. :A.; pi ►uary12,2024 t
BOaFA+'
d mmission No. 24j Expires Jan IP024
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owed rr" rMJFoh"fimenee
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19