HomeMy WebLinkAboutPermit appl-2008-066710222020All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/10/20
Permit Number: /4C.C.i 6
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
Residential X
PERMIT APPLICATION FOR: 3026 NW Radcliffe WAY, Palm City
Address: 3026 NW Radcliffe WAY
Property Tax I D #: 4425-703-0013-000-9
Site Plan Name: Mark -site plan
Project Name: Poolside Cabana
Lot N o. 8
Block No.
Name Mark DiCarlo
Address: 3026 NW Radcliffe WAY
City: Palm City State:
Zip Code: 34990 Fax:
Phone No. (772) 214-6337
E -Mail: mdicarlo2727@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
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 772-324-8604
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:
Zi p: Phone
Zi p: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zi p: Phone:
Zi P: 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.
t. 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 attorAev before commencing work or recording your Notice of Commencement.
LISA
Signature of Owner/ Lessee/Contractor as Agent for Owner Signa ur Contractor/License Holder
STATE OF FLO A -- STATE OF FLORIDA
COUNTY OF I 4�- COUNTY OF
Sworn to (or affirmed) and subscribed before me of Swor o (or affirmed) and subscribed before me of
h sical Pre nce or Online Notarization Physical Presence or Online Notarization
this day of 2020 by this� '� day of y 2020 by
cay- I �) N
Name of person making statement. Name of person making atement.
Personally Known OR Produced Identification Personally Known
Type of Ide' ication Type of Identification
Produced D L__ Pc4uced
0
OR Produced Identification
(Signature of, (Signature of Notary Pub of Flo AJELLE CARNEY
Not r Public -
4t KATIE ACCARDI State of Florida
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290 2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVI EW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
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COMPLETED
Rev. 5