HomeMy WebLinkAboutSLC Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: New Single Family Residence
PftUwUED�I\lIPR011E . _ E .T L. . T Q
Address: 5766 Pinetree Drive Fort Pierce FI. 34952
Property Tax ID #: 3402-603-0112-000-2 Lot No.
Site Plan Name: Pinetree Drive Block No.
Project Name: Sammler
FETAILED DESCRIPTION OF WORK:
New Single Family Detached Dwelling
New Electrical Meter X Second Electrical Meter NO
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 3044 Sq. Ft. of First Floor: 2285
Cost of Construction: $ 279,900.00 Utilities: —Sewer _ Septic Building Height: 22'
OWNER/LESSEE: CONTRACTOR:
Name Craig & Danielle Sammler Name: Kimberly Bunner
Address: 1331 SW Hutchins Street Company: RJM Custom Homes
City: Port Saint Lucie State: Address: 6917 Vista Parkway North Suite #1
_
Zip Code: 34953 Fax: City: West Palm Beach State: FL
Phone No. (772) 370-7093 Zip Code: 33411 Fax: N/A
E-Mail: dsammler2006@yahoo.com Phone No (561) 267-7476
Fill in fee simple Title Holder on next page ( if different E-Mail michael@rjmcustomhomes.com
from the Owner listed above) State or County License CBC1256527
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: NuL ApphLable MORTGAGE COMPANY: _ Not Applicable
Name: RICK BOYETTE Name: MID-FLORIDA CREDIT UNION
Address: 4031 COCONUT BLVD Address: 1692 SW GATLIN BLVD
City: ROYAL PALM BEACH State: FL City: PORT SAINT LUCIE State: FL
Zip: 33711 Phone (561)790-5766 Zip; 34953 Phone: (866) 913-3733
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: x Not Applicable
Name: PRIME TITLE SERVICES
Name:
Address; 1775 SW GATLIN BLVD SUITE #105
Address:
City: PORT SAINT LUCIE
City:
Zip: 34953 Phone: (772)621-2e62
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 a;),attorney before commencing work or recording our N tice of Commencement.
Signat wner/ Lessee/Contractor as Agent for Owner
Signature tractor/License Holder
STATE OF FLO D
COUNTYOF YY� • l`�''1`1C�
STATE OF FLO A
COUNTY OFQ��
Swgxn to (or affirmed) and subscribed before me of
Sworn or affirmed) and subscribed before me of
Physical Pre ence or Online N i AJ �i
this � day of A (L DES ����r`
P sical Pres nce or Online Notarization
this day of I)0!9"
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(SignatCureootary lic-State of Florida)
(Siof N taryPublic- State ofCo
. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20