HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
4/19/2020
Date: Permit Number: ._ L-,
a C C �" qa (l Tr ' ?
U AUG 20 G
Building Permit Applicati
ermici:i:,gDep:v r7 ;nt
Planning and Development Services
Building and Code Regulation Division S t a Lucie C o u n I +y r� L
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:Residential Building
PROPOSED IMPROVEMENT LOCATION:
Address: 5412 Deleon Ave, Fort Pierce FL 34951
Property Tax ID #: 1301-614-0103-000-4 Lot No.13
Site Plan Name: 5412 Deleon Ave Block No. 160
Project Name: 5412 Deleon Ave
DETAILED DESCRIPTION OF WORK:
Construction of anew single-family home. One story high building with a floor area of 1,694 SF. Scope of work
includes but is not limited to: Land clearing, septic tank, water well, structural shell, MEPs and finishes.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
x Mechanical _ Gas Tank _ Gas Piping _ Shutters x Windows/Doors
X Electric' x Plumbing _ Sprinklers _ Generator x Roof 4:12 Pitch
Total Sq. Ft of Construction: 2264
Cost of Construction: $ 135,000
Sq. Ft. of First Floor: 2264
Utilities: _ Sewer x Septic Building Height: 1315"
OWNER/LESSEE:
CONTRACTOR:
Name434 21st Street LLC
Name: Pedro Quijada
Address:9111 E Bay Harbor Dr 6f
Company: Ducto Limpio LLC
City: Miami State: FL
Address:12700 Countryside Ter
Zip Code: 33154 Fax:
City: Cooper City State: FL
Phone No.954-736-7418
Zip Code: 33330 Fax:
E-Mail: ianCperchikcpa.com
Phone No954-850-0618
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 CGC1 525305
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:
Name:
Address: 0 11
Li.rn • O W5
Address:
City:
DV-e:
City: State:
Zip: _3'Y Phone
G
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 DER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Sign of essee/Contractor as Agent for Owner
Signature of Contractor cense Holder
ATE OF FLORIDA
STATE OF FLORIDA
Je
COUNTY OF M i!JA( 9,9a
COUNTY OF W AI-i I Pfi
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 7 day of T_� _ 20 Zd by
this Z day of 207P by
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Name of pe so'� n making statement.
Name of perso ma ing statement.
Personally Known OR Produced Identification
Personally -Known OR Produced Identification
Type of Identification /
Type of Identification
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Produced F( 17
.d\pRY PUS'-i CAR HOLGUIN
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(Signature f Notary P If+t �Igoade/)Pub{ic State of Florid
ignature of Notary PublicIry rig p ary Public - State of F
Commission # GG 59547
r ` Ex Tres Feb 15, 20
p s, •o,: Commission # GG 595
1 °,°„;°PO Expires
Commission No, � M Y P
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mmission No. ( rm. Feb 15,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19