HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED OR APPLICATI N BE ACCEPTED
Date: 3/6/2017 14AR 13 2017
Permit Number:
x J3iy "i St.Lucie
Works
s Lucie County, F!. ( y 1
Building Permit Application PPlanning 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
PROF'OEd INI�Rt}UEMN.` �OCATtC?�i Iry
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Address: 15370 Skyking Dr, Port St. Lucie, FL 34986
Legal Description: Lot 67,Treasure Coast Airpark
Property Tax ID#: 4224-501-0067-000-5 Lot No. 67
Site Plan Name: Lot 67 Treasure Coast Airpark Block No.
Project Name: Ciuperger 2016.231
.Setbacks Front 266.9' Back: Right Side: Left Side: 39.0'
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Construction of new one-story single family residence with attached garage.
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Additional work to e e orme under this permit-check a apply:
ZHVAC Ej Gas Tank Gas Piping _Shutters Windows/Doors
ZElectric 0✓ Plumbing Sprinklers El Generator W1 Roof 6�12 Roof pitch
Total Sq. Ft of Construction: 5326 S Ft.of First Floor: 5326
Cost of Construction:$ 480,000.00 Utilities:1i Sewer Septic Building Height: 24'-9"
OUtRJLE5SE � k CONTRACTCfR "
Name Vasile&Kristina Ciuperger Name: Owner-Builder
Address: 144 NW Berkeley Ave Company:
City: Port St. Lucie State: FL Address:
Zip Code: 34986 Fax: City: State:
Phone No. 561-758-9688 / 561-319-8603 Zip Code: Fax:
E-Mail: kvckvc@aol.com / kvckvc@yahoo.com Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail: s.
from the Owner listed above) State or County License:
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: Edward F.Shinski,PE#47515 Name: Trustco Bank
Address: 4707 Wild Turkey Rd Address: 1030 N Ronald Reagan Blvd
City: Mims State: FL City: Longwood State: FL
Zip: 32754 Phone: 321-863-3223 Zip: 32750 Phone: 407-659-5712
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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
com cin ork or recording our Notice of Commencement.
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Sign Jkure of 0 er/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 1�eUC(-d COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this__G_day of M O C-T'\ 20 1 by this day of 20 by
.(Name of person acknowled ing) (Name of person acknowledging)
(Signature of Notary Public-State of Flori a (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced_ , `�� Type of Identification Produced
Commission No. F �V® Cyg@yRr Lisa Armstroni lCommission No. (Seal)
State of Florida
Revised 07/15/9.0111,01,Vk Ohs; February 22,2010
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE r
CO M P LETE 5A
INITIALS