HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE Coy .,,:EfED FOR APPLICATION TO BE ACCEPTh_ of
Date: I o I y Permit Number: 19 12 (J IO J
%be-) RECEIVE►
� Building Permit Application DEC 0 5 2019
Planning and Development Services Sr. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT TYPE: residential, single family residence
I PROPOSED IMPROVEMENT LOCATION: I
Address: 2-3 5k S
L4
Property Tax lD#:n2-320 - SOI - mzz - u)n --7 Lot No. LD
Site Plan Name: of MA' Qur le -% FQxms Block No. Z
Project Name:
I DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
X Mechanical _ Gas Tank —Gas Piping _ Shutters X Windows/Doors
'Electric Plumbing _Sprinklers _Generator X Roof I-LI G Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor: 31 Lo I
Cost of Construction: $ af Utilities: Sewer � Septic Building Height: _ 22.
10"
»i�rz
OWNERAESSEE: -
CONTRACTOR:
Name Evrnesk and Cnrol4m ROCArcquez
Name: Andrew Nadalin
Address: 359 M0rKlr1)a h%rA Ave.
Company: Pace 2000. Inc
city: For -\- RCresz state: FL_
Zip Code: 31-iq$2 Fax:
Phone No. -70 - Lo,9to - 85S
Address:445 NW Prima Vista Blvd
City: Port St Lucie State: FL
Zip Code: 34983 Fax: 772-340-7304
Phone No 772-340-7223
--I
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail admin@pace2000homes.com
State or County License CBC059859
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.
331
SUPPLEMENTAL
N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Joseph McCarty Architect
Address: 900 SE Osceola Street
City: Stuart State: FL
Zip: 34994 Phone 772-497-6932
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name 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 AN ATTORNEY YA)RI RECORDING YOUR NOTICE OF COMMENCEMENT."
Si ure of Owner/ Le for as Agent for Owner
Signature of Contractewje"W err —
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Rt I i irip
COUNTY OF Rt I , inip
The foF da instru enS. rq was cknowledga,d,bby me
this day of N01/Pm� . 20L by
The folgpi a instrument ffn by me
this N day of 20 by
Andrei.) tiJada n
A JrnLJ /�ladafin
Name of person making statement.
Name of person making statement.
Personally Known )—OR Produced Identification
Type of Identification
Personally Known X OR Produced Identification
Type of Identification
Pr�U�t..Lloddduced �
Produced e�
/% n
1 Q.
\n
1tlL£P J oaidaCRmlar
(Signature of Notary P lic- Stag of Florida I
%�V:p�j� Paula S. Breier
Commission No. C(>iaral9slon 9 GG030843
' Expires: September 15, 2020
S
(Signature of Notary P �S edb$F(r� ,Nan # 00030543
, F,tpl Se mber15,2020
Commission No. Bond Aamn Notary
'M
unn,
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DATE
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COMPLETED
Rev. 2/7/19