HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 8/14/20 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: steel building
PROPOSED IMPROVEMENT LOCATION:
Address: 4912 Silver Oak Drive
Property Tax ID #: 3402-606-0235-000-9
Site Plan Name: Indian River Estates
Project Name: Dennis Speck
I DETAILED DESCRIPTION OF WORK:
construct steel building
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical — Gas Tank —Gas Piping
Electric _ Plumbing Sprinklers
Total Sq. Ft of Construction:��� ST
Cost of Construction: $ `�
Residential X
Lot No. 15 & 16
Block No. 27
Shutters _ Windows/Doors _ Pond
Generator Roof 1 Z Pitch
Sq. Ft. of First Floor:
Utilities: — Sewer _ Septic Building Height: J q f (p fl
OWNER/LESSEE:
CONTRACTOR:
Name Dennis Speck
Name: Andrew Nadalin
Address:4912 Silver Oak Drive
company: Pace 2000, Inc.
City: Port Pierce State: r
Zip Code: 34982 Fax:
Phone No.
Address: 445 NW Prima Vista Blvd.
City: Port St Lucie State: FL
Zip Code: 34983 Fax:
Phone No 772-340-7223
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail admin9pace2000homes.com
State or County License CBC059859
it vawe or construction is /_suer or more, a Kl:[;LIKULD Notice of commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL_ CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER /ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:'�'�' ' b .�
Name:
Address: �"c'.d
Address:
_
City:. 'r- -LLr,u �� Stater
City: State:
Zip: `-,E,` --r Phone -1-7Q-3_3H__' d.cC`�,
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.
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature
of Owner/ Lessee/Contrac as Agent for Owner
Signature a ra r
STATE OF FLORIDA
STATE OF FLORIDA .
COUNTY OF
COUNTY OF
SwoT.to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Press ce or. Online Notarization
Physical Presence or Online Notarization
this ;, ^ day of I-, G! ;? L'... , 2020 by
this L L day of J
`P/ 2020 by
f!" /(J_
�,t
Name of person making statement. .�.
Name of person making statement.
Personally Known `_ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
j
(Signature of NotaryPublic- State o1�I�, PatlLa S. Breie
(Signature of Notary Public- State of Florida )
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Commission No.�a Q U-zJ j�Sa�e
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mission No. 6-6 �A f P Brei$r
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REVIEWS
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REVIEW
REVIEW
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REVIEW
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DATE
RECEIVED
DATE
COMPLETED
iev.5/6/20