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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i Date: ` Is, -1 Permit Number: WEI 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 PROPOSED INPROVEMENT'LOCATION: ` Address: 13312 NW Baywood Place o Legal Description: Riverbend Plat Book 67 Page 36 City of Port St. Lucie, St. Lucie County, Florida Property Tax ID#: 4425-703-0042-000-1 Lot No.37 Site Plan Name: Riverbend Block No. Project Name: Riverbend Setbacks Fro •17, Back: 62.66 Right Side: 26.87 Left Side: 27.31 DETAILED DESCRIPTION OF WORK: New Construction-SF Model 6811-A/R 4 Bedroom 5 1/2 Bath One Story 3 CONSTRUCTION INFORMATION: Additional work to be nertormed under t is permit—check all that apply: ZHVAC Gas Tank ❑G 's Piping _Shutters Q Windows/Doors ZElectric Plumbing . Sprinklers Generator 17 Roof Total Sq. Ft of Construction: 4906 S Ft.of First Floor: 3692 Cost of Construction:$ 373,000.00 Utilities:0 Sewer Z Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Standard Pacific of South Florida Name: Scott Harala Address:825 Coral Ridge Drive Company: Standard Pacific of South FI GP, Inc. City: Coral Springs State:FL Address: 825 Coral Ridge Drive Zip Code`: 33071 Fax:954-434-8840 City: Coral Springs State:FL Phone No.954-232-2290 Zip Code: 33071 Fax: 954-434-8840 E-Mail:Permits@brownspermitting.com Phone No. 954-232-2290 Fill in fed simple Title Holder on next page(if different E-Mail: Permits@brownspermitting.com from the'Owner listed above) State or County License: CGC1506052 If value of construction is$2500 ormore,a RECORDED Notice of Commencement is required. I SUPPLEMENTAL CONSTREUCTION LIEN 'LAV1/ INFORMATION: '. 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 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. k_ ,1 -1 v` V ��V Signature of Owner/Agent/Lessee Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORID COUNTY OF Broward COUNTY OF The fo�r.going instrument acknowled ed before me The for oing instrume�w as acknowledged before me this J day of 'r�-- 20�by this day of —1C��-- 20©by Scott Harala Scott Harala (Name of perso knowledging) (Name of per n acknowledging) (Signature of Notary Public-State of Florida) (Signature of Notary P WN Dom ission#FF140607 Personally Known ��@ 101�nti�' tion Personally Known x '*: p$ slit iiibe0iA16 Type of Identificat d e ission#FF 14 �� Type of Identification P e�hmJmy Fen insuw" Sut n: �R6 Expires Novemurl Commission No. % q1� BwdedThruT,oyF8 insu2neeB003BSd01B Commission No. (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED