HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Da a
Date: C�� Permit Numbe f _0
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APR 15 2020
Building Permit Applic tWIAr sitting Denartment
Planning and Development Services St. Lucie County, FL
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:
PROPOSED IMPROVEMENT LOCATION:
Address: 5004 PINETREE DR
Property Tax ID #:: 3402-602-0099-000-1
Site Plan Name: INDIAN RIVER ESTATES -UNIT 1
Project Name:
DETAILED DESCRIPTION OF WORK:
New CBS constricted home 3/212
CONSTRUCTION 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: 2560
Cost of Construction: $ 274,215.d0
Lot No.17&18
Block No. 3
J
indows/Doors
1216 Pitch
Sq. Ft, of First Floor 560
Utilities: Sewer Septic Building Height: 19_-7"
OWNER/LESSEE:
CONTRACTOR:
NameGina & John Whitiker
Name: Mark Motalto
Address:368 SE Bloxham WAY
Company: Port Saint Lucie Properties, INC
City: Stuart State:
Zip Code: 34997 Fax:
Phone No.772-618-3318
Address:2401 SW Monterrey Lane
City: Port Saint Lucie State: FL
Zip Code: 34953 Fax:
Phone No 772-249-0086
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail pslpropl224@gmail.com psipropl@gmaii.com
State or County LicenseCBC1263072
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•B=dlnGHutMInsonRE
Name: L%0 \Y4
Addre
_
L
Address:808DeMamAn
City: FortPier°e State: FL
City:
State: Z
Zip:34992 Phone772s21-++
Zip: hone:
8 UJ
FEE SIMPLE TITLEHOLDER: _ 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 restrlct 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,
accessary 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 LEydER�OR AN AVORNEY BEFORE RECORDING YOUR NOTICV„OF COMMENCEMUH."
Signature -of Owner/ Les ee/Contractor as Agent for Owner
Signaturei5f Contractor/License H, der
STATE OF FLORIDASTATE
COUNTY OF I )L�—
OF FLORI A
COUNTY OF,C r Uaut' '
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The r mg instru ent.w s acknowledge efore me
The for%ing instru t s acknowledge efore me
this ay of 20 y
this__� � day of 20_vLby
Mirk, �� V, I b
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Name old f�making statement.
Name of person maki� statement.
Personally Known �� OR Produced Identification
Personally Known✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
v I/ I/INy
Produced
(Signature of �� Rrbda )
'(Signa ure of IQota
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: MICHELLE LOSRUTTO
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Commission#GG912684
Commission No.
,: Commission# 64
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