HomeMy WebLinkAbout3026 NW Radcliffe Way-permit application08242020All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/10/20 Permit Number:
YL-'. 4�
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Bu41 Is
ilding hermit Application
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 APPLICATION FOR: 3026 NW Radcliffe WAY, Palm City
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Address: 3026 NW Radcliffe WAY
Property Tax ID #: 4425-703-0013-000-9 8
Lot N o .
Site Plan Name: Mark -site plan
Block No.
Project Name: Poolside Cabana
Build a poolside cabana, as per plans.
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
Mechanical Gas Tank Gas Piping Shutters
Electric Plumbing Sprinklers
Total Sq. Ft of Construction: 300
Cost of Construction: $ 38000
Name Mark DiCarlo
Address: 3026 NW Radcliffe WAY
City: Palm City State:
Zip Code: 34990 Fax:
Phone No. (772) 214-6337
Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Utilities: Sewer Septic
E-Mail: mdicario2727@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height: 1 story
Name: Gustavo Alvarez
Company: Cosmopolitan Construction & Maint. Corp.
Address:4974 SE Horseshoe Point Rd
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone N o 772-324-86 04
E-Mail cosmoconstruct@gmail.com
State or County License CGC1510204
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.
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DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City: State:
City:
State:
Zip: Phone
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.
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 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 your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of , 2020 by
Name of person making statement.
5i Contractor/License Holder
STATE OF FLORIDA
COUNTYOF
Swor (or affirmed) and subscribed before me of
V. Physical Presence or Online Notarization
this AN day of 2020 by
Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced R, 4ucecl
(Signature of Notary Public- State of Florida) (Signature of Notary Pub - - of Flo 64ELLE CARNEY
Not Public -
State of Florida
��'sssio `# GG 358920
Commission No. (Seal) Commission No. 'o� My CoM0@S*ires Jul 24, 2023
Bonded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVI EW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5