HomeMy WebLinkAboutBuilding Permit ApplicationL'
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number: U 0 Dq ' 0 qq_()
Building Permit Application
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address:
TBD Marie Rd
Commercial Residential x
Property Tax ID #- 2311-601-0097-000-2 Lot No. 12&13
Site Plan Name: JAY GARDENS -FT PIERCE BLK 6 LOTS12 AND 13 Block No. 6
Project Name:
JAY GARDENS -FT PIERCE BLK 6 LOTS12 AND 13
DETAILED DESCRIPTION OF WORK:
New CBS 3/212
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
X Mechanical _ Gas Tank _ Gas Piping _ Shutters
x Electric plumbing _ Sprinklers
Total Sq. Ft of Construction: 1817
Cost of Construction: $ 169,900
_ Generator
Sq. Ft. of First Floor:
Utilities: _Sewer xSeptic
X Windows/Doors
X Roof 6/12 Pitch
1817
Building Height: 15'
OWNERAESSEE:
CONTRACTOR:
Name Dalton S Logsdon
Name: Mark Montalto
Address: 3014 S 8th ST
Company- Port Saint Lucie Properties,inc
City.. Fort Pierce State: FL
Address: 201 SW PSL BLVD
Zip Code: 34982 Fax:
City: PSL State:
Phone No. 772-473-7954
Zip Code: 34986 Fax:
E-Mail: debra_logsdon@yahoo.com
Phone No 772-249-0086
Fill In fee simple Title Holder on next page ( if different
E-Mail pslpropl224@gmail.com pslpropl@gmail.com
from the Owner listed above)
State or County License CSC 1263072
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
Name: Bowdin G HutchinsonTI.
MORTGAGE COMPANY: _ Not Applicable
Name: Gold water Bank
Address: 806 De eware Ave
Address: 2525 East Camelback
City: Fort Pierce St te: FL
City: Phoenix State:
Zip: Phone
016
Zip: - Phone:480-79T-IMUU—
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"HE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTOR)MY BEFORE RECORDING YOUR NOTICE ORCOMMENCEMENT,%°
�, �, � � �z � ZZ X I -
�/—
Kig—natureXown&/ Lessee,/tractor as Agent for Owner
Signature Contractor/Ucense Kolder
STATE OF FLORIDA
STATE OF FLO.9I?A.
COUNTY OF St. Lucie
COUNTY OF t. ucie
The for%n instru ent w acknowled ed before me
iU�tfay �'eptemaber 20
The for oin instru nt was aacknowled a before me
i�t+ay 0
this of . 20 by
this ofeptember , 2U by
Mark Montalto
Mark Montalto
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Fiat e f o - State 4—Florida
(Sign t r I1C�'�Calr'llfTle*i
Sj,PYP MICHELLE LOBR�1 0
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Commission No. "
+n..:. MICHELLE LOBR
;'r, pYP°�P: UTTO
q i Commission #GG N26
Commission ,a: :*: 'Seal)
sion#GG`9 4
Expires Janua 12' 2024
"yFoF iCoQ' ry_ '
_�; ;q; Expires anuary-12, 202
FqK f; °"• Bonded Thru Troy Fain Insurance 80mg-7019
REVIEWS
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
FRONT
ZONING
COUNTER -
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19