HomeMy WebLinkAboutBuilding permit application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/30/17 Permit Number:
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Building Permit 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: Building
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Address: T.B.D-DAVIS ST., Ft Pierce(White City)34982., ) 17 ®��/(-� S� I'r F�J LP jQP
Legal Description: SEE SURVEY LEGAL DESCRIPTION
SECTION 9,TOWNSHIP 36 SOUTH, RANGE 40 EAST ST LUCIE
Property Tax ID# 3409-111-0001-030-1 Lot No.
Site Plan Name: Block No.
Project Name: DAVIS RESIDENCE
Setbacks Front 50' Back: 108'•53 Right Side: 31 aV Left Side: 10'.50
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3 BED/2 BATH/ DEN/2 CAR GARAGE, CBS CONSTRUCTION
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COIySTRUCTION fNFOR�IIATiOf � �ha Y r _ w
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Additiona I wor-to. e ertormed unclerthis permit—c ec a apply:
ZHVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
✓❑Electric 0 Plumbing Sprinklers F�Generator Roof 6/12 Roof pitch
Total Sq. Ft of Construction: 3008 Total S .Ft.of First.Floor: 2063 A/C ®QS
Cost of Construction:$ 206,048.00 Utilities Sewer Septic Building Height: 20'o.a.
011/I�tER/LESSEE _ 3` CONTRACOR# r h
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Name STEPHEN M.DAVIS Name: GREG OLDAKOWSKI,PRESIDENT
Address:1207 KINGSWOOD LN Company: GRANDE CONSTRUCTION OF FLORIDA INC
City. FT PIERCE State:FL Address: PO BOX 881765
Zip Code: 34982 Fax: City: PORT ST LUCIE State:FL
Phone No. l a �'�d ���� Zip Code: 34988 Fax: 772-785-8851 j
E-Mail: Phone No. 772-336-7240
Fill in fee simple Title Holder on next page(if different E-Mail: GREG@GRANDEFL.COM
from the Owner listed. above) State or County License: CGC1505127
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: x_- Not Applicable MORTGAGE COMPANY: Not Applicable
Name: COOK&MENARDARCHITECTURE,INC Name: SEACOAST NAM BANK
Address:806 DELAWARE AVE I , Address: 50KINDREDS,T-SUITE 11
City: FT PIERCE ' State: FL City: STUART State: FLI
Zip: Sasso Phone: 772-4604751 Zip: 34994 Phone: 800-706-999l
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FEE SIMPLE TITLE HOLDER: x—Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
1 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 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.
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Sifh_at of Owner/Lessee/Contractor as Agent for.Owner -Signatbre of Contractor/License liolder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sT LUCIE COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 3� day of a 20by this 3�day of �q� ,20 by
(Name of per acknowledging) (Name of rson acknowledging)
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(Signature of Notary PubI14 State of Florida) (Signature of Notary Public-State of Florida).
Personally Known OR Produced Identification Personally Known OR Prod n
Type of Identification Produced 07ft of Ide
MpR1EGr/ENNS 2 ISSI0N#GG022023
Commission No: 5� •• (Seal)OMISSION#GG022 0 o ission 5 Decen,berti&.
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Dim 16, ;•'' Bonded Thm Notary PublicUndenurito
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE y,
INITIALS