HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:` �• ,� ('h�� Permit Number: lts 1 I
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C k49 RECEIVED
Building Permit Application DEC 2 3 2015
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County; FL
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: 3108 NW Radcliffe
Legal Description: Riverbend Plat Book 67 Page 36 City of Port St. Lucie, St. Lucie County, Florida
Property Tax ID #: 4425-703-OW-000-3 Lot No. 21
Site Plan Name: Riverbend Block No.
Project Name: Riverbend
Setbacks Front 40.00 Back: 189.60 Right Side: 12.65 Left Side: 12.67
DETAILED DESCRIPTION OF WORK:
New Construction-SFR
Model 6812-C/R
CONSTRUCTION INFORMATION:
itiona wor to e nej r orme under this permit— check a apply:
❑✓— HVAC E Gas Tank ❑Gas Piping _ Shutters Windows/Doors
Electric W Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: ! 'I U�u
Cost of Construction: $ 513,000.00
Sq. Ft. of First Floor:
Utilities:Sewer W1 Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Standard Pacific of South Florida
Name: Richard Manning Woodley
Address: 825 Coral Ridge Drive
Company: Standard Pacific of South FI GP, Inc.
City: Coral Springs State: FIL
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
E-Mail: Permits@brownspermitting.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CBCA17970
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
.—
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
IRMATION:
MORTGAGE COMPANY:
_ Not Applicable
Name:
Address:
City: '
State:
Zip: Phone:
BONDING COMPANY:
Not Applicable
Name:
Address:
City:
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 tq 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
w commencing 146% r cordinia vour Notice of Commencement.
Signature of Ownpr%Agent/ Lessee
&005�3 1
Signature of Contractor ense Holder
STATE OF FLO JIDA STATE OF FLORIDA
COUNTY OF B ward COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20= by this,,,l^day of -De< —?/ , 20[flby
Michael Metzkes
(Name of person acknowledging)
(Signature of Nota ublic- State of Florida )
Richard Manning Woodley'
(Name of person acknowledging)
(Signat Nota ; iPublic- tate-of Florida )
Personally Known x OR Produced Identification Personally Known x, OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. o�pa�pya-''• S� N SHACHAR �
Commission No. Cc 7 �"�Yjpy Sea
MY COMMISSION #FF007026 ':Qj$��rr:= MYCOMMISSIONMEE2247d5
Revised07/15/201 h
(407)398.0153
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