HomeMy WebLinkAboutBuilding Poermit Application, originalAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: JDO4o — O7 6
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Building Permit
Planning and Development Services
Building and Code Regulation Division Commer�ia I _
2300 Virginia Avenue, Fort Pierce FL 34982 s
Phone: (772) 462-1553 Fax: (772) 462-1578
JUN 2 9 2020
ST. Lucie County,
Residential X
PERMIT APPLICATION FOR: RESIDEN,TIALbADDITION
PROPOSED IMPROVEMENT LOCATION _'- • " `;`
Address: 1515 NW LANCEWOOD TERRACE, PALM CITY, FL 34990
Property Tax ID #:4426-803-0017-000-7
Site Plan Name: DECHIARO ADDITION
Project Name: DECHIARO ADDITION
DETAILED DESCRIPTIONOF:WORK„
1,380 SF RES
New Electrical Meter
Second Electrical Meter
Lot No.
Block No.
CONSTRUCTIQN INFOR_NIATION: „y F ;� _ - � , • .
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 1,380 Sq. Ft. of First Floor: 1,380
Cost of Construction: $ 290,000.00 Utilities: _Sewer _Septic Building Height: 1 STORY
OWNER/LESSEE
`CONTRACTOR:
NameTHOMAS DECHIARO
Name:WILLIAM,E14ANIERO
Address:1515 NW LANCEWOOD TERRACE I
Company: WM B IANIEROCONST•RUCTION, LLC
City: PALM CITY State: t
Zip Code: 34990 Fax: ('
Address:2740,SW'MARTIN DOWNS BLVD
State: FL
Zip Code: 34990 Fax:
Phone No772-223-3470
Phone No.631-374-8083
E-Mail: (iYlL, C/iYiii
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail wmbeye@gmail.com
State or County License C t5<.
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement is required.
`SUPPLEMENTAL;CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
x Not Applicable
N a me: BRADEN a BRADEN
Name:
Add ress: 417 COCONUT AVENUE, /2
Address:
City: STUART
State: FL
City:
State:
Zip: 34996 Phone 772-287-8258
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x
Not Applicable
BONDING COMPANY:
x Not Applicable
Name:
.Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made tg,nbtain 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 covenarits that may re3trict 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 conc y review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and essory ses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Comm ment ay result in g tuuice far
improvements to your property. A Notice of Commence nt mu r e in t public records of St.
Lucie County and posted on the jobsite before the first' cing, consult
with lender or an attornev before commencine wo or ecordin otie
1
ignature of Owner/ Lessee/Contractor as Agent for'Owner—�
Sig ue of Coitr r/U—c
STATE OF FLORIDq
} L.u6e
STATE OF FLORIDA c
& t
COUNTY OF ` . ,
COUNTY OF . �
Sworryto (or affirmed) and subscribed before me of
Sworn to (or affirmed) and su�bScrrCEd before me of
Physical Presen a or_Online Notarization
P�h}yy Ical Pres�ce or Online Notarization
thi day of 2020 by
this ftf -dBy of U 4G.2C .2020 by
pore) re)
\C/e-C)
Name of person making/statement.
Name of person making statement. I
Personally Known ✓ OR Produced Identification
Personally Known OR Produced Identification V
Type of Identification
Type of Identification .7'4 �'
Produce
Produced�T��.. C%�-s�—d�P% -
State of Florida
(Si f No ublic-Sta
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ature of Nof ®�tftaofEMT? d��SHIRLEY
Commission No.
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, �yatary Public Sate of FI
"; aK commission s GG 3452
Commi89390'
r�dao� Explres 07
.& mission No.
`'For R,• My Comm. Expires Jur 13.2023
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.5/b/20