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HomeMy WebLinkAboutBuilding Permit Applicationi ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: la IrD Permit Number: - RECER":D DEC 14 7.016 B,;uilding Permit Application Planning and Development Services fj 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 IMPROVEMENT LOCATION Address: 3034 NW Radcliffe Way LtiQ,Y1/i I'Y`'I I P 3400P ly Legal Description: Riverbend Plat Book 67 Page 36 City of Port St. Lucie, St. Lucie County, Florida Property Tax ID #: 4425-703-0015-000-',3 Lot No.10 Site Plan Name: Riverbend Block No. Project Name: Riverbend Setbacks Fro Bac 05 Right Side• — Left SideeK I 1 657 f DETAILED DESCRI TION OF W - RK� New -Construction -SF Model 6812-D/R 5 Bedroom with Den 61/2 Bath, CONSTRUCTION INFORMATION: Additional work to bJe"njer orme under this permit -check a apply: �HVAC L_Gas Tank []Gas Piping _ Shutters Q Windows/Doors Electric 0 Plumbing []Sprinklers ❑ Generator Roof Tot.-4 Sq. Ft of Construction: 8042 S . Ft. of First Floor; 4 -p'D 3 Cost of Construction: $ 513,000.00 Utilities: OSewer Septic 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. Address: 825 Coral Ridge Drive City: Coral Springs State: FL Zip Code: 33071 Fax: 954-43,4-8840 Phone No. 954-232-2290 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. SUPPLEMENTAL CQNSTR'UCTION L'IE'N'L#AW INFORMATION- i DESIGNER/ENGINEER: Not Applicable _. pp MORTGAGE COMPANY: Not Applicable Name: &Z Dgn C'W the Name: Address: . R&%d k c5c,, Vvd Address: City: L \.ewcs a i State: F-L_ City: State: Zip: 32-2,so Phone: 40� —M4-foo'113 Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: Not Applicable 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 Owhers 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 arel 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. A-4-4-A Signature of Owner/Agent/ Lessee Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIQ COUNTY OF aroward COUNTY OF before me The forgoing instrument was acknowled ed I�by �2�� The forgoing instrument was acknowledged before me 41 this day of 20 this day of 20©by Scott Harala Scott Harala (Name of perso ack edging) (Name of person acknowledging) (Signature of Notary Public- State of Florida )' (Signature of Notary Public- State of Florida ) Personally Known. X OR Produced Idenlltification Personally Known x . OR Produced Identification Type of Identification Produced Type of Identification Produced "" DENISEBROWN Commission No. oa•e!?'%a # 607 m ° DENISE�QI�i Commission No. r , ti"� e�B''% `��F 140607 Commission Ires November 4, 2018 EXp _ _ ,,;_ I' eooae5.7os �_ Commissl n :;�€ Expires November 4, 2018 Revised REVIEWS FRONT I ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE. COUNTER REVIEW . REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED 1 DATE COMPLETED r