HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 2 /'�
Date: 2/17/2021 Permit Number: � :) ' cc I
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91rO J�l�l�ll� * RECEIVED
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
MAR 01 1011
Permitting Department
Commercial Residential & .ude County
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:.
Address: 4906 BUCHANAN DRIVE, FORT PIERCE, FLORIDA
Property Tax ID #: 3402-602-0052-000-0 Lot No.7,8,9,10
Site Plan Name: BUCHANAN DRIVE --- BLANDFORD RESIDENCT Block No. 2
Project Name: INDIAN RIVER ESTATES UNIT #1
DETAILED DESCRIPTION OF WORK.,
CONSTRUCTION OF A THREE BEDROOM, TWO BATH CBS.HOME WITH TWO CAR GARAGE
2369 SQUARE FEET LIVING 1137 SQUARE FEET ACCESSORY 3506 SQUARE FEET TOTAL UNDER ROOF
New Electrical Meter XX Second Electrical Meter
CONSTRUCTION INFORMATION
Additional work to be performed under this permit— check all that apply:
�( Mechanical _ Gas Tank —,Gas Piping _ Shutters X Windows/Doors — Pond
/= Electric Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: 3506 Sq. Ft. of First Floor: 13506 '
Cost of Construction: $ 320,000 Utilities: —Sewer XSeptic Building Height: 2Z_
OWNER/LESSEE. , _
CONTRACTOR:
NameALAN & MELISSA BLANDFORD
Name: SUSAN BARBER
Address: 5814 SEAGRAPE DRIVE
Company: GEM BUILDERS, INC.
City: FORT PIERCE State: _
Address:1321 LONE PINE DRIVE
Zip Coder34982 Fax: NONE
City: FORT PIERCE State: FL
Phone No. 772-201-9604
—i'fjoz
Zip Code: 34982 Fax: NONE
E-Mail: A e.,Q rh
Phone No 772-201-6434
Fill in fee simple Title Holder on xt page (if different
E-Mail SUSIEGEM3@BELLSOUTH.NET
from the Owner listed above)
State or County License STATE CRC036620
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:
Not Applicable I MORTGAGE COMPANY: — Not Applicable
N am e: RAUL R. VALLELA I Name: CENTERSTATE BANK
Address: 138 SE NARANJA AVENUE
City: PORT ST LUCIE State: FL
Zip: 34983 Phone 772-871-2457
Address:
City: FORT PIERCE, State: FLA
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: ALANAND MELISSABLANDFORD Name: NONE
Address: 5814 SE SEAGRAPE DRIVE Address:
City: FORT PIERCE, FLA. City:
Zip: ER982 Phone: 772201-9604 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
impr is to your property. A Notice of Commencement must be recorded in the public records of St.
Lu 'e County d p ted on the jobsite before the first inspectiQin. If you intend to obtain financing, consult
ith lender oalmorney before commencing work o ecordin our' otce of Commencement.
as Agent for Owner
STATE OF FLORID
COUNTY OF
S orn to (or affirmed) and subscribed before me of
i rese c of Online Notarization
I f 2020 by
1.(;Q n An Azz
Name of person making s atement.
Personally Know OR Produced Identification
Type of I pntifi n
Produce
State of Florida
Melanie A Barber
Commission No. My CoMn fJeAG 926292
mires 1012712023
51gaatUfe of Contractor/License Holder
STATE OF FLOFda I�
COUNTY OF I -'
1S o n to( . or a armed and subscribed before me of
P ysrese c r Online Notarization
is f 2024 by
Name of person making statement.
Personally Known V OR Produced Identification
Type of Identification ,
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Rev. 5/b/z0