HomeMy WebLinkAboutBuilding Permit ApplicationItt
All APPLICABLE INFO MUST BE
Date: 8/3/20 4 acb -a4
FOR APPLICATION TO BE ACCEPTED _J
Permit
Building Permit Applicat
AUG 2 0 2020
ST. Lucie County, Permitting
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Residential Building s
PROPOSED IMPROVEMENT LOCATION:
Address: 5bu4 Deleon Ave, tort coerce tL ;J4Vb1
Property Tax ID #: 1301-614-0110-000-6 Lot No. 20
Site Plan Name: 5504 Deleon Ave Block No. 160
Project Name: 5504 Deleon Ave
DETAILED DESCRIPTION OF WORK:
Construction of a new single family home. One story high building with a floor area of 1,694 SF
under A/C. Scope of work includes but is not limited to: Land clearing, septic tank, water well,
structural shell, M EPs and finishes. ,ns , Ab d,�- \' 5 % a 03 'r g q c�
New Electrical Meter Yes I
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical Gas Tank _Gas Piping _._.Shutters _n_ Windows/Doors _ Pond
X Electric X Plumbing _ Sprinklers `Generator X Roof
Total Sq. Ft of Construction: 2264
Cost of Construction: $ 135,000
Sq. Ft. of First Floor: 2264
Utilities: —Sewer X_Septic Building Height: 1315"
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OWNER/LESSEE:
CONTRACTOR:
Name 434 21st Street LLC
Name: Pedro Quijada
Address: 9111 E Bay Harbor Dr 6f
Company: Alva Stone Group LLC
City: Miami Stater
Address: 2030 S Ocean Dr #2221
Zip code: 33154 Fax:
city: Hallandale Beach State: FL
Phone No. 954-850-0618
zip Code: 33009 Fax:
E-Mail: ian@perchikcpa.com
Phone No 954-850-0618
Fill In fee simple Title Holder on next page (if different
E-Mail pedrojulianquijada@hotmail.com
from the Owner listed above)
State or County License CGC1529454
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 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 YOU ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
AS*tfr&e�ner/ Lessee/Contractor as Agent for Owner
Signature of Contra ctor/Licen a Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF M i0.0 ► O cuk-q'
COUNTY OF
The forgoing instrument was acknowledged before me
The g instru ent was acknowledged before me
this 5day of F1U U UJ+ 20JO by
this of 20-10 by
Zay
Ian
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Name of person making statement.
Name of person maki s atement.
Personally Known A OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Ideficat�r�
Produced ti
Produced
ign of Notary Public- State of Flor' n® enom
r
ature of Notary Public- St " )
'�.,, BonM ThN Anon N
Notary Public
Commission No. �� oil 256 o -State of Floridamission
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No �u�6% (Seal)
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Comm# HH014
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19�® Expires 6 24 2
2
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19