HomeMy WebLinkAbout01 APP. UPDATED Building Permit App (Notarized & scanned)- Pereira NOE Lot 1 e_!z-6 C Pe5 cde vice
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12.11.2020 Permit Number: 2101-0339
S L<_UP"CUIs ,
' X Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial _ Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:Single Family Residence - Pereira Residence
PROPOSED IMPROVEMENT LOCATION:
Address: (TBD) Noble Oaks Lane NOTE: House # assigned #2430 (additional info added 03.22.21)
Property Tax I D#: 311 d L/ - �i' 3 __00 41-000 Lot No.1
Site Plan Name: Noble Oaks Estatesib Block No.
Project Name: Pereira Residence
DETAILED DESCRIPTION OF WORK:
Singles family residence,single story
Porches 756 sq. ft. , Garages 960, Living 3712=Total 5131 sq..ft.
NOTE: 3 bedrooms, 1 Study en additional info added 03.22.21)
New Electrical Meter 200 Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all that apply:
✓Mechanical —Gas Tank _Gas Piping _Shutters —Windows/Doors _Pond
y/Electric -izOlumbing _Sprinklers _Generator _Roof 5-1/2 12 Pitch
otal . Ft of Construction: 5431 ( r'Vi C�V\(A li0l)Sq. Ft.of First Floor:
Cost of Construction:$ 341,200.00 Utilities: _Sewer _,Z�eptic Building Height: 24'-2"
OWNER/LESSEE: CONTRACTOR:
Name Aurelio F.&Maria F. Pereira Name:Yvonne P. Dudley
Address:456 NW Ravenswood Lane Company:Villadelta Construction Corp.
City: Pt St.Lucie State:_ Address:1425 SE Village Green Drive
Zip Code: 34983 Fax: City: Port St.Lucie State:FL
Phone No.772-201-7364 Zip Code: 34952 Fax:
E-Mail:al@villadelta.com Phone No 772-201-7363 (Cell)
Fill in fee simple Title Holder on next page(if different E-Mail yvonne@villadelta.com
from the Owner listed above) State or County License CRC058551
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: —Not Applicable MORTGAGE COMPANY: x Not Applicable
Name:Pronto Plans Name:
Address:110 NE NaranjaAve Address:
a
City: PortST.Lude State: FL City: -' State:
Zip: 34983 Phone 772-201-7252 Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: x 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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 recordi r Notice of Commencement.
Signdfure of Owner/Lessee/Contractor as Agent for Owner Si a re of Con ractor/License Holder
STATE OF FLORIDA S TE OF FLORIDA R
COUNTY OF COUNTY OF S&
Sworn to(or affirmed)and subscribed before me of SV40rn to(or affirmed)and subscribed before me of
LJPhysical Presence or Online Notarization U Physical Presgnce or Online Notarization
this'A day of A U 2020 by this day of 12020 by
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Name of person making statement. Name of person making statement.
Personally Known i`� OR Produced Identification Personally Known�I OR Produced Identification
Type of Identification Type of Identification
Produced Produce
( nature o a n a (Sign ur Gta>4�+ef�M
JANA L.BRIDGES
Commission $r` :+:Colli4ng} 04 ;202� CommissiV :`:Commission#HH 041043(Seal)
qy(( r ��* f. .. �y�may` _ q`.=Expires September 13,2024
�tiTii•n 90fN1MI�IfY Ir �iw�11M_M V4Y'Vw'TV�! p'p'pVOP• amW T Fain lnsurartCe 800.385?019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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RECEIVED
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