HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: �l L /W / Permit Number L 1'' UU 1�
ST. LlIC1E
F L O R 1 U A
C" C/ RECEWED
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
NOT 0 4 :1020
PERMIT APPLICATION FOR: Single Family Home
:PR&O;SED'IMPROVEMENTtOCATION
Address: 51 Soverign Way '
Property Tax ID #: 1414-701-0013-000-0
Site Plan Name: Queens Cove
Project Name: Rock Residence
Lot No. Lot A/B
Block No. 2
DETAILED DESCRI,PTIONOF 11VORK:
a .
New single family Home
JA
` 46-ed V-V vM 5 _ � Calr Q ara.�e-
New Electrical Meter X Second Electrical Meter
CONSTRUCTION I'NFORIVlATION
Additional work to be performed under this permit— check all that apply:
k Mechanical _Gas Tank k Gas Piping _Shutters � Windows/Doors _Pond
y
Electric � Plumbing � Sprinklers _Generator x Roof 6/12 Pitch
Total Sq. Ft of Construction: 4118
Cost of Construction: $�'7T i-7SS
Sq. Ft. of First Floor: t_zvley� 'Z�93S__
Utilities: _Sewer Septic Building Height: 22'-8"
OWNER/LESSEE
CONTRACTOR:-
NameThomas and Princess Rock
Name: Richard Adams 111
Address:2106 Ave G
Company: Ra Connstruction of the TC/Homes by Aburton
City: Ft Pierce State: _
Address:850 NW federal Highway suite 226
Zip Code: 34950 Fax:
City: Stuart State: FL
Phone No.
Zip Code: 34994 Fax:
Phone N0772-260-8419
E-Mailracon4@comcast.net
E-Mail:
Fill in fee simple Title Holder on next page if different
State or County License CGC1520713
from the Owner listed above)
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.
Permlttin4 Departn"}qt
ResidentiaftX-u"e Countiy;
SUPPLEMENTAL "CONSTRUCTION LIEN LAW INFORMATIQN y '
"
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name : Stanley Forrest Architect
Name:
Address: 5000 AVE of the stars
Address:
City: Kissamee State: FL
City: State:
Zip:34746 Phone407-997-8000ext5153
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 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 attorney before commencing; work or reccKding your NoticVof Commencement.
Signature of Owner/ Lessee/Con ractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
r
COUNTY OF S- -. I�.LL.Gi e,
COUNTY OF tAAy L'n
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
%/ Physical Pres nce or Online Notarization
thi-s—� day of � -2020 by
� Physical Presence or Online Notarization
this_` day of Qc>ce be 2020 by
c
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
&�o
(Signature of Notary Public- State
of otary Publi - St a of Florida )
qq CAROL N. AD
6 1 4.4 g MY COMMISSION #
Commission No. a
S
i�lis
n No. oO; I)LEANNAMARIEMr
l�
a�, Po: EXPIRES: July 16
2022
Commission # -(12
••foi c►Q.•• 13011d8f1 Ti1N Notary I'ubIIC
Ild@IIMII(@B
Tres June 25
y OFF�o�
bridedThlueudgetNote
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20