HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/18/2019 Permit Number: `
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,- RECEIVES
Building Permit Applicatio APR 18 J:19
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
'PERMITTYPE: new construction residential
RROPOSED,IMPROVEMENT LOCATION:
Address: 2260 Rock Road
Property Tax ID #: 2323-501-0004-000-4
Site Plan Name:
Project Name: Bonilla residence
L DETAILED DESCRIPTION OF WORK:
construct a single family residence wit 6 b drooms�112baths and a carport
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit —check all that apply:
X Mechanical _ Gas Tank _ Gas Piping —Shutters _ Windows/Doors
X Electric X Plumbing Sprinklers
Total Sq. Ft of Construction: 4292
Cost of Construction: $ 300,000
Generator X Roof 6/12 Pitch
Sq. Ft. of First Floor"
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameManual Cuellar Bonilla
Name: James Trefelner
Address: 2402 Holiday Ct
Company:Trefelner Construction Inc
City: Fort Pierce State: F►-
Address:1760 Copenhaver Rd
Zip Code: 34982 Fax:
City: Fort Pierce State: FI
Phone No.
Zip Code: 34945 Fax:
E-Mail:
Phone No772-201-9833
E-Mail trefelnerj@bellsouth.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License 28600
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
..SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Raul Valella
Name:
Address: 138 SE Narania Ave
Address:
City: Port St Lucie State: FI
City: State:
Zip:34983 Phone772-871-2457
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
i
Signa re of Owner/ Lessee/Cot-or as Agent for Owner
Signature ontractor/License Ho de
STATE OF FLORIDA
STATE OF FLORIDA II
COUNTY OF e �� i�i�I�
COUNTY OF itl 1
The fpKgoing instir ment was acknowledge5,before me
this LT day of 20� by
The fo oing instru ent v� s acknowledgeAbefore me
this day of 20 by
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification V/
Personally Known OR Produced Identification
Type of IdentificItion
Type of Identifi ion
Produced L
Produced
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(Signature of Notary
u4 i to oKRl)S. N I E LS E N
(Signature of
�`Ryp, KAREN S. NIELSEN
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�_ .State of Florida- yy��Public
= _ ission #�Ci7484
Commission No.
��;State of Florida -Notary Public
'' '_ Commi # GG 2074?34
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�iFOF F�O�� My Co nrn� sion Expires
Commission N .
June 12, 2022
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My Commission Expires
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