HomeMy WebLinkAboutBuildingPermitApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
p lti Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:7828 SADDLEBROOK DR
PROPOSED IMPROVEMENT LOCATION:7828 SADDLEBROOK DR
Residential X
Address: /828 SADDLEBROOK DR
Property Tax ID #: 3321-501-0008-000-9 Lot No. 8
Site Plan Name: 7828 SADDLEBROOK DR Block No. -
Project Name: 7828 SADDLEBROOK DR
DETAILED DESCRIPTION OF WORK:
NEW SINGLE FAMILY RES - 4 BDRM 3 BATH 2 CAR GARAGE
New Electrical Meter X Second Electrical Meter
I 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: 4184 Sq. Ft. of First Floor: 4184
Cost of Construction: $ 200,000 Utilities: —Sewer —Septic Building Height: 16` 1"
OWNERAESSEE:
CONTRACTOR:
Name A GREAT HOME
Name: DARRICK BAILEY
Address: 751 NW ENTERPRISE DR SUITE 105
Company:A GREAT HOME
City: PORT SAINT LUCIE FL State: _
Zip Code: 34986 Fax:
Phone No. 772-209-2845
E-Mail: DARRICKBAILEY@HOTMAIL.COM
Address: 751 NW ENTERPRISE DR SUITE 105
City: PORT SAINT LUCIE State: FL
Zip Code: 34986 Fax:
phone No 772-209-2845
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail DARRICKBAILEY@HOTMAIL.COM
State or County License CGC1527573
-� �• *+ •+•• � ���� MN 111WI W, a r%L%.vnvru lwar.e yr wmmencement is requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: X Not Applicable
_
Name: BRADFN AND 6RADEN
Name:
Address: 417 COCONUT AVE
Address:
City: State:
City: STUART State: FL
Zip: 3499r, Phone-172-287-8258
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x 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
is in with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
which conflict
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 f . e to Record a Notice of Commencement may result in paying twice for
improvements to yo erty. A Notice of Commencement must be recorded in the public records of St.
.1
Lucie County and 6 on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender o orne befoi, commencing work or recording our Notice of Commencement.
Signature o 0 er/ Less ontractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORI
STATE OF FLORIDA
COUNTY OF ST L
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
Physical Presence or Online Notarization
this day of 12020 by
this day of 12020 by
Name of person making state t.
Name of person making statement.
Personally Known x ced Identification
Personally Known OR Produced Identification
Type of Iden ' ' Eon
Type of Identification
ro
Produced
,.�*•^': CRYSTAL OP
gl
(Signature of No#a p�R EXPIRES July 2�i, 2a21
(Signature of Notary Public State of FloridaUU
)
Commission No. o
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.