HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 1506-0475
Building Permit Application
Planning and Development Services
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 INPROVEMENT LOCATION
Address: 3104 NW Radcliffe Way
Legal Description.. Riverbend Plat Book 67 Page 36 City of Port St. Lucie, St. Lucie County, Florida
Property Tax ID #: 4425-703-0025-000-6
Site Plan Name: Riverbend
Project Name: Riverbend
Setbacks Front Back: Right Side
DETAILED DESCRIPTION OF WORK:..
New Construction-SFR
Change Of Quailifer
Left Side: 0
Lot No. 20
Block No.
Haaitional work to De nertormea under tnls permit— check all Mat apply:
ZHVAC LJ Gas Tank Gas Piping _ Shutters Z Windows/Doors
Electric 21 Plumbing Sprinklers [ Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities:Sewer W1Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Standard Pacific of South Florida
Address: 825 Coral Ridge Drive
Name: Scott Harala
Company: Standard Pacific of South FI GP, Inc.
City: Coral Springs State: FL
Zip Code: 33071 Fax: 954-434-8840
Phone No. 954-232-2290 -
Address: 825 Coral Ridge Drive
City: Coral Springs State: FL
Zip Code: 33071 Fax: 954-434-8840
Phone No. 954-232-2290
E-Mail: Permits@brownspermitting.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Permits@brownspermitting.com
State or County License: CGC1506052
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
` 0
_SUPPLEMENTAL CONSTRUCTION LIEN LAWN INFORMATION:
DESIGNER ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: 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 vour Notice of Commencement.
Signature of Owner/ Agent/ Lessee Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Broward
The forgoing instrument was acknowledged before me
this 5 day of may 20L_J by
Scott Harala
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known X OR Pr ei$Id i a 4p
Type of Identificat n,JR,,; ##ceChFISE BRI1W��
s ' Commission 4 FF 140607
Commission No. Expires Nov(StW)4, 2018
PF F,Q.`�� Bonded Thru Troy Fain Insurance 800-3B5-7019
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF Broward
The forgoing instrument was acknowledged before me
this 5 day of may , 20 :1 by
Scott Harala
(Name of person nT
g )
(Signature of Notary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No. nCnri
Cormission #OFF 140607
Apyn"e� er , 2018
Bonded Thu Troy Fain Insurance 800-385-7019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4e am v5 -Permit Number:
i RECEIVED JUN 2 6 2015
Building Permit Application
Planning and Development Services
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 INPROVEMENT LOC ON
Address: 3104 NW Radcliffe Way `--
Legal Description: Riverbend Plat Book 67 Page 36 City o Port St. Lucie, St. Lucie County, Florida
Property Tax ID #: 442570300250006
Site Plan Name: Riverbend
Project Name: Riverbend
Setbacks Front 40.4 Back: 331.01
DETAILED DESCRIPTION OF WORK:
New Construction-SFR Model-6811 ElevC'
Right Side: 13.7
N
Left Side: 19.2
Lot No. 20
Block No.
Additional work to be ertormed under tnis permit— cneck all apply:
ZHVAC Gas Tank ❑Gas Piping _Shutters Z Windows/Doors
ZElectric ❑✓_ Plumbing Sprinklers F� Generator 17 Roof
Total Sq. Ft of Construction: 5245 S . FtFt. of First Floor` ' 7,0 4b
Cost of Construction: $ 345,000.00 Utilities: Sewer F Septic Building Height:
OWNERAESSEE:
CONTRACTOR:.
Name Standard Pacific of South Florida
Name: Richard Manning Woodley
Company: Standard Pacific of South FI GP, Inc.
Address: 825 Coral Ridge Drive
City: Coral Springs State: FL
Address: 825 Coral Ridge Drive
City: Coral Springs State: FL
Zip Code: 33071 Fax: 954-434-8840
Phone No. 954-232-2290
Zip Code: 33071 Fax: 954-434-8840
E-Mail: Permits 9 brownspermitti ng.co m
Phone No. 954-232-2290
Fill in fee simple Title Holder on next page ( if different
E-Mail: Permits@brownspermitting.com
from the Owner listed above)
State or County License: CBCA17970
IIf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 11
CERTIFICATION:
This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity,
if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS,
AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit application.
St. Lucie County makes no representation that its granting -of a permit will authorize the permit holder to build the subject structure.
which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit s uch
structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory
structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non -
residential use.
NOTICE 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 YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO
ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
OWNER OR C TlT CTOR SIGNATURE
STATE OF FLORIDA
COUNTY OF Broward
The foregoing instrument was acknowledged before
me this day of P-L. 20
by ale S
who is personally known _X or has produced
as identification.
Signa ure of Notary
CONTRACTOR SIGNATU
STATE OF FLORIDA
COUNTY OF Broward
The foregoing instrument was acknowledged before
me this loth day of February , 20 15 ,
by Richard Woodley Manning
who is personally known X or has produced
as identification.
Signatu e o o ry
=Qti ...... LINDA C. GOSSELIN
Commission No. Commission No. EE 224735eal�ly COMMISSION # EE 224
�a :eve, DENISE BRO N EXPIRES; August 14, 20
°" DENIComlSSloit # FF 140607 cF F4' ` Bonded Thru Notary Public Under
*. ? k�
Expires November4, 2018
' ;PF F f' Bonded Th. Troy Fain Insurance 800385-7019
NOTE: TWO (2 EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILI?ER APPLICANTS.
For specific instructions see appropriate permit checklist. 06