HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 12/512019 Permit Number: I(T O -®l01
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-- Building Permit Application DEC 051019
Planning and Development Services Permlttin9 o coon Pent
Building and Code Regulation Division St. Lucie
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMITTYPE: Driveway columns
PROPOSED IMPROVEMENT LOCATION:
Address: 2260 Rock Rd
Property Tax ID #: 2323-501-0004-000-4
Site Plan Name:
Project Name: Cuellar
barn
DETAILED DESCRIPTION OF WORK:
construct a (3) 16 x16 decorative columns for driveway and walk gate
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — clleck all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _Sprinkle §1 _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 500 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameMauual Cuellar
Name: James Trefelner
Address:2402 Holiday Ct
Company:Trefelner Construction Inc
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.
Address:1760 Copenhaver Rd
City: Fort Pierce State:FI
Zip Code: 34945 Fax:
Phone No 772-201-9833
E-Maik
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail trefelnerj@bellsouth.net
State or County License 28600
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: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Raul Vaiella
Name:
Address: 138 SE Naranja Ave
Address:
City: Port St Lucie State: FI
City: State:
Zip: 34983 Phone 772-871-2457
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
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 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 OBT FINANCING, CONSULT
WITH YOUR LENDER OR AN ORNEY BEFORE RECORDING YOUR N TICE OF CO CEMENT."
Signs a of Owner/ Lessee/Q ntractor as Agent for Owner
Signatur o Contractor U older
STATE OF FLORIDA c O
STATE OF FLORID 1
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Name of Qerson making stateme .
Name of p I Son making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
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RECEIVED
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