HomeMy WebLinkAboutBuilding permit appAll 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 TYPE: Single Family
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential X
Address: 2926 S Header Canal Rd Fort Pierce, FL 34945
Property Tax ID #: 2224-700-0003-000-4
Site Plan Name: 2926 S Header Canal Road
Project Name: Hueck Residence
DETAILED DESCRIPTION OF WORK:
Lot No. 2
Block No.
New single family CBS home with 5v metal roofing system. Includes 3 bedrooms and 2.5 baths with 3 car garage.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
X Mechanical _ Gas Tank _ Gas Piping _ Shutters
X Electric X— Plumbing
Total Sq. Ft of Construction: 3,822
Cost of Construction: $ 250,000.00
Sprinklers _ Generator
X Windows/Doors
X Roof 5/12 Pitch
Sq. Ft. of First Floor: 2,126 AC 3,822 Total
Utilities: —Sewer —Septic Building Height: 21.5'
OWNER/LESSEE:
CONTRACTOR:
Name Diederich and Christie Hueck
Name: Jared Modine
Address:4582 SW Uleta St
Company: Cole Construction Services, LLC
City: Port St Lucie State: _
Zip Code: 34953 Fax:
Phone No. 772-418-0390
Address: 497 S. Brocksmith Rd
City: Fort Pierce State:
Zip Code: 34945 Fax:
Phone No 772-519-0558
E-Mail: druon10@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail coleconstruction@hotmail.com
State or County License 29778
It value of construction is SZ500 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
Name: FL Design Build Inspect Construction & Architecture
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone 772-321-4500
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: xNot Applicable
Name:
Address:
Address:
City
I 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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
ature of Owner/ Lessee/Contractor as Agent for Owner
Signatur of ontractor/License Hold r
STATE OF FLORIDA
CO U NTY OF St Lucie
STATE F LORIDA
COUN FStLucie
The forgoing instru en was acknowledged before me
this _Ljl,.� day of 207U by
The forgoing instrument was acknowledged before me
this /to day of %AA I� , 20 Za by
Name of person making statement.
Personally Known `� OR Produced Identification
Name of person making statement.
Personally Known " OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public-
/� Notary Public State of Florida
Commission No�`it%) `f: ��iputler
My Commission GG 189140
Expires 02/22/2022
Ignature of Notary Public- St e Qiridabtary Public State of Flori
((''���(Nikki Cutler
mission NAG, I q i ` pnmission GG 18914
?os r'o� � > es 02/22/2022
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