HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/14/17 Permit Number: e��✓��17/ l lfj
Building Permit Application MAR 2 3 2017
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 xx
PERMIT APPLICATION FOR: Building -
PROPOSED IMPROVEMENT LOCATION:
Address: 9500 Poinciana Court, Ft. Pierce FL 34951 014- fl"f!> `l h o /2,0
Legal Description: Monte Carlo Country Club Unit Two, According to Pages 25, 25A Through 25B
Property Tax ID#: 1334-502-00a-000-2 Lot No.192
Site Plan Name: Monte Carlo Country Club Unit Two Block No.
Project Name: Meadowood
Setbacks Front 25.20 Back: Right Side: 25.20 Left Side: 13.02 v
DETAILED DESCRIPTION OF WORK:
New Construction-SF Model 2371-A/L with Stone Elevation
1 Story 3 Bedrooms with Study and 2 Baths
CONSTRUCTION INFORMATION:
Additional work to e ne rmed under this permit-check a apply:
Z✓ HVAC Gas Tank Gas Piping Shutters Windows/Doors
ZElectric %Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 3126 S . Ft. of First Floor: 2369I �p
Cost of Construction:$ 159,000.00 Utilities: W1 Sewer Septic Building Height:
OWNER/LESSEE: Lennar Homes, LLC., CONTRACTOR: Lennar Homes, LLC
Name P " ate 1=e00Qr 4ACr0j25 Name: Prilip Serrate
Address:730 NW 107th Ave Company: Lennar Homes, LLC
City: Miami State: FL Address: 730 NW 107th Ave
Zip Code: 33172 Fax:954-434-8840 City: Miami State:FL
Phone No.954-232-2290 Zip Code: 33172 Fax: 954-434-8840
E-Mail:Permits(_W brownspermitting.com Phone No. 954-232-2290
Fill in fee simple Title Holder on next page(if different E-Mail: Permits Ca brownspermitting.com
from the Owner listed above) State or County License: CGC062343
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: x—Not Applicable
Name: Walsh Engineering Name:
Address:3200 N.Federal Hwy Address:
City: Boca Raton State: FL City: State:
Zip: 33431 Phone: 561-362-0237 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: _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 pro erty.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 o an attorney before
commencing work or rec ding your Notice of Commencement.
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_Signature of Owner/Lessee/A ent Signature of Contractor/Lice s Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Broward COUNTY OF Broward
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 20 day of March 20 17 by this 2-0 day of Marc, 20 17 by
1 Philip Serrate Philip Serrate
(Name of person acknowI d 'ng) (Name of person acknowledging)
Y" DENISE BROWN
Py��° Commission#FF 140607
:k= Commission#FF 140607 Expires November 4,2018
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(Signature of Notary P ` Q i � (Signature o Notary Publi S FIB
",R�i. on c ru roy ' Insurenee8MM17019
Personally Known XX OR Produced Identification Personally Known XX OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF 140607 (Seal) Commission No. FF 140607 (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW RE IEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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