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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 31a�S� yi Permit Number: R E C E 1`D MAR 23 7017 i—,Sed e Building Permit Applications ,� Planning and Development Services C 1 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 - � PROPOSED IMPROVEMENT LOCATION: Address: 13306 NW Baywood Palm City FL, 34990 0 dJ Legal Description: Lot 38 Riverbend Section 25 Township 37 Range 4.0E Property Tax ID#: 4425-703-0043-000-.8 Lot No.38 Site Plan Name: Block No. Project Name: Setbacks Front 40' Back: 83.91' Right Side: 23.96' Left Side: 23.66' DETAILED DESCRIPTION OF WORK: .: Construction of Single Family Residence. CBS 1 Story 3 Bed, 3 1/2 Bath, 3 Car Garage CONSTRUCTION INFORMATION: - Additional work to e e orme under this permit—check a apply: W1HVAC 11 Gas Tank Gas Piping _Shutters Q Windows/Doors ❑✓—Electric Z✓ Plumbing Sprinklers �Generator �Roof 4/12 Roof pitch Total Sq. Ft of Construction: 4563 S . Ft. of First Floor: � -51J3 Cost of Construction:$ 270,000.00 Utilities:Sewer Septic Building Height: 22'4" OWNER/LESSEE:Owner CONTRACTOR:General Contractor. Name Standard Pacific of Florida Name: Scott D Harala Address:825 Coral Ridge Dr Company: Standard Pacific City: Coral Springs State:FIL Address: 825 Coral Ridge Dr Zip Code: 33071 Fax: City: Coral Springs State:FL Phone No.954-575-7355 Zip Code: 33071 Fax: E-Mail: Phone No. 954-575-7355 Fill in fee simple Title Holder on next page (if different E-Mail: pwxlisa@yahoo.com from the Owner listed above) State or County License: 29745 CGC1506052 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. g `4 SUPPLEMENTAL CONSTRUCTION LIE'N`LAW INFORMATION; DESIGNER IN _Not Applicable MORTGAGE COMPANY: Not Applicable Name: '1 rcnl)all �` Lne Name: Address: / o so v Address: City: 3or a 2� State: FZ7 City: State: Zip: 33�f Phone: 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 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 commencing work or recording our Notice of Commencement. Signature of Owner/Agent/Lessee Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Broward COUNTY OF The forgoing instrument was acknowlecl ed before me The fog instrument was acknowledged before me this�4 day of �u^C� 20LZ r n by this day of 20 /_©' by Scott Harala Scott Harala (Name of person acknowledging) (Name of person acknowledging) CW'g'tiatu're of Notary Public-State f Florida) ture of Notary Public-Stat f Florida) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced, Ti eof dentification Pr' �, SANDI COOP R �otPum�s'"" S DI COOPER A Commission No. �o�" I)Notar Public-State �pMi ion No. =2*ara #� Not r o •: Y is-State of Florida ° ° = Commission # FF 1115693 ° ••= �� ¢ Commission#FF 915698 %rFOF«°aP •an�i�a�� P 1.2019 r„ r• Bondedthrou Revised 07/15/2014 gh Nations(Notary Assn. t.. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED C{ icA ,�- DATE Q I COMPLETED rJ�