HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (� Date: 12/10/19 Permit Number: a
RECEIVED
DEC 10 2019
Building Permit ApplicatiOnermitting Department
St. Lucie County
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 Residential x
PERMIT TYPE: Building
PRO.pOSECI,IIVIPROVENIENT,LOCQTION
Address: 15360 Skyking Drive
Property Tax ID If: 4224-501-0065-000-1
Site Plan Name: Treasure Coast Airpark
Project Name: Dyer Residence
Lot No.65
Block No.
DETAILED.DESCRIPTION`OFhW,ORK1� r'
Construction of
f nNSTRl1(77TION INFORMATION::';
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 4,526 Sq. Ft. of First Floor: 4,526
Cost of Construction: $ 171.988.00 Utilities: _Sewer _Septic
Windows/Doors
Roof Pitch
Building Height:
01NN E R/LESSEE
'CONTRACTOR r —
Name- StBC &OI1V1a1)yeT
Name:Ryan Davis
Address:2310 NW Sunset Blvd.
Company:Synergy Homes, LLC
Address:3950 RCA Blvd., Ste 5000
City: Jensen Beach State:
City: Palm Beach Gardens State: FL
_
Zip Code: 34957 Fax:
Phone No.309-751-8189
Zip Code: 33410 Fax:
E-Mail: gunnersmokes(?Pyahoo.com
PhoneN0t561-623-0476
Fill in fee simple Title Holder on next page (if different
E-Mei`I@synergyhomesfl.com c+2L
from the Owner listed above)
State or County License
If value of construction is $2500 or more, a KhLV Ku[u INOLIae m wuu; . ry-•. �••• ...-. ,. -.,.�
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
coct
SUPPLEMENTALCOq$TRUCTION+L"IEN LAW INFORMATION_
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V
DESIGNER/ENGINEER: _
Name • LiNan Gonzalez -Search Engineering
Not Applicable
MORTGAGE COMPANY: _
Name: NIA
Not Applicable
Address: +624 Richard Lane
Address:
City: Palm Springs
Zip:334M Phone561-29"929
State:.FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
Name:SAME
Not Applicable
BONDING COMPANY: _Not
Name:N/A
Applicable
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 OBTAIN FINANCING, CONSULT
w!ru YnLIR r ENDER OR AN ATTORNEY RCFnRF RF[OROING YOUR NOTICE OF COMMENCEMENT."
I
Signatur of Owner/ Lessee/Contractor as AgeTfor Owner
Signature of Co tractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFFLoRioA
COUNTY OFFI-oRiDA
The forgoing instrugnt was acknowledged before me
The forgoing instrument was acknowledged before me
this day of L ?2C 201, by
this JQday of�l� C 203 by
�1eV S
_�vnn IJQV.0
^\JQn
Nameldff-person making statement.
Namekvf person making statement.
Personally Known %C OR Produced Identification _
Personally Known / ` OR Produced Identification
Type of Identification
Type of identification
Produced
i
Pro uced
e orRiat 61Pd - StL=e
gna ure of Nota t& o ida
OHNSON
Commission No. HGG251845
2021
Commission No. ''� DEANNFi a�HN$ SN
IY COMMI I N GG251845
17,
_
Ire
EXPIRES: July 17, 2021
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