HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater T- ,;:?g Q7 Permit Nw
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION;
Building Permit Appli
N3C
MAY 2 8 2020
Permitting Detpartment
St. Lucie County, FL
Commercial Residential x
Address: TBD GULLOTTI PL
Property Tax ID #: 3414-501-1106-200-0 Lot No.
Site Plan Name: ST LUCIE GARDENS 24 36 40 BLK 3 N 165 FT OF S 825 FT OF LOT 6 (1.2%")&AP 34/24
Project Name:
DETAILED DESCRIPTION' OF'WORK:
CONSTRUCTION INFORMATION: '
Additional work to be performed under this permit —check all that apply:
YMechanical _ Gas Tank Gas Piping _ Shutters X Windows/Doors
XElectric )Plumbing _ Sprinklers _ Generator XRoof 6/12 Pitch
Total Sq. Ft of Construction: 2797 Sq. Ft. of First Floor: 2797
Cost of Construction: $ 262,900.00 Utilities: _ Sewer XSeptic Building Height: 20'
OUVNER`� LESSEE :` - ',
CONTRACTOR:
Name Josh Stiller
Name: Mark Montalto
Address: 3575 Eleven Mile RD
Company: Port Saint Lucie Properties, INC
City: Fort Pierce State: FL
Address: 201 SW PSL Blvd suite 103
Zip Code: 34945 Fax:
City: PSL State: FL
Phone No. 772-828-0336
Zip Code: 34984 Fax:
E-Mail:
Phone No 772-249-0086
Fill In fee simple Title Holder on next page (if different
E-Mail pslpropl224@grnail.compslpropl@gmafl.co
from the Owner listed above)
State or County License cbcl263072
If value of construction is $2500 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.
SUPPLEIViENTAL,CONSTRUCTION LIEN LAW IN
F RMATION:
DESIGNER/ENGINEER: Not Applicable z
MORTGAGE CO PANY:
Not Applicabl
Name. Bowdin G Hutchinson PE
Name:
Address: 8U6 0elaware AVe
Address:
1L r
City: Fort Pierce State:
City: • -
state: 4-L.
Zip: Phone 2-5 1- 411
Zip: Q,S 2S 1 phone: %CQ 293
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 OBTAN "NANCING, CONSULT
WITH YOUR LENDER -OR AN AT"MEY BEFORE RECORDING YOUR NOTK"F COMMEMEMENT."
ignature Owner/ Les /Contractor as Agent for Owner
Signa a of Contra r/Licen a Holder
STATE OF FLOW% cie
STATE OF FLORIDA.
COUNTY OF
COUNTY OF St. Lucie
The foo going instrupleant was acknowledge before me
ttfol Y 10
for
The for oing instrument was acknowledge9efore me
MaY
this day of 20 by
this of . 20_ by
Mark Montalto
Mark Montalto
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary 'I0at_
'eLgf €�.(W49*0
(Signature of of77AEx
Commission # G 912684
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19