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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