HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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)462-1 578
PERMIT APPLICATION FOR:SFR NEW CONSTRUCTION CBS
PROPOSED IMPROVEMENT LOCATION:TBD SUNRISE BLVD
Address: TBD SUNRISE BLVD
Property Tax ID#: 2433-801-0068-000-9 Lot No.
Site Plan Name:— Block No. 5
Project Name: MARSAN RESIDENCE
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENTIAL NEW CONSTRUCTION: 3 BEDROOM 2 BATH 2 CAR GARAGE
New Electrical Meter X Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
uMechanical _Gas Tank _Gas Piping _Shutters _� Window Doors _Pond
v Electric V Plumbing _Sprinklers Generator V Roof Pitch
Total Sq. Ft of Construction: 2598.5 Sq. Ft. of First Floor: 2598.5
Cost of Construction: $ 317,315.00 Utilities: Sewer _Septic Building Height: 17'6"
OWNER/LESSEE: CONTRACTOR:
Name MARSAN, PEDRO&AMERICA Name:ROBERT CENK
Address:437 GOLDEN ISLES DR#6B Company:HOMECRETE HOMES INC
City: HALLANDALE State: Address:2162 NW RESERVE PARK TR
Zip Code: 33009 Fax: City: PORT ST LUCIE State: FL
Phone No.772-873-6707 Zip Code: 34986 _ Fax:
E-Mail:MSHOWMAN@HOMECRETEHOfVIES.COM Phone No 772-873-6707
Fill in fee simple Title Holder on next page ( if different EAVlail BCENK@HOMECRETEHOMES.COM
from the Owner listed above) State or County License CGC062378
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:N2 ARCHITECTURE&DESIGN Name:
Address:2081 SE OCEAN BLVD SUITE 1A Address:
City: STUART State: FL City: State:
Zip: 34996 Phone 772-220-4411 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 inspe ion. If you intend to obtain financing, consult
W4QeInder or an attorney before commencing work or re r ingypurNotigoe of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORID
COUNTY OF lP. COUNTY OF_f�q WCA,42
Sworn o(or affirmed)and subscribed before me of Swor to(or affirmed)and subscribed before me of
slcal Pres nce or Online Notarization sical Presence ox Online Notarization
this ay of 2020 by this ay of 2020 by
Name of person making/statement. Name of person making statement.
Personally Known V OR Produced Identification Personally Known " OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Notary Pu ic-State of Florida ) (Signature of Notary Public-It
�y'ui Notary Public State of Flori a
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Commission No. �1edMelissa D Showmanm fission No. mmission GG z944s. <Yr-��
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dF Expires 01/24/
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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