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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMrLr rED FOR APPLICATION TO BE ACCEPTED Date: 4/30/2021 Permit Number: v Y �j Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Residential X PERMIT APPLICATION FOR: NEW RESIDENCE P>ROPOSED IMPROVEMENT LOCATIONp °%`` 6 Address: 6003 CARLTON ROAD, PORT ST LUCIE, FL 34987 Property Tax ID #: 3209-700-0004-000-7 Site Plan Name: MONTOYA 2 ESTATES (PB 41-15) LOT 4 (8.686 AC) Project Name: GUEST HOUSE New Electrical Meter Second Electrical Meter Lot No. Block No. Additional work to be performed under this permit- check all that apply: x Mechanical _ Gas Tank _ Gas Piping _ Shutters x Windows/Doors _ Pond x Electric x Plumbing _Sprinklers _Generator x Roof 5/12 Pitch Total Sq. Ft of Construction.-� 1TZ-© Sq. Ft. of First Floor: -5.2-9 Cost of Construction:© ' Utilities: —Sewer —Septic Building Height: 10' Name Jose Ale iandro Fuentes and Mabel Gonzalez Name: owner builder Address: 1651 West 37 Street #406 Company: City: Hialeah State: FL Address: Zip Code: 33012 Fax: 305-362-9312 City: State: Phone No. 786-525-4472 Zip Code: Fax: E-Mail: mabel.premium@yahoo.com Phone No Fill in fee simple Title Holder on next page ( if different E-Mail from the Owner listed above) State or County License it 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. t"A'+ t ,ke. i"fiF' 9 � P � ?,, �"�; � x; f� SUP LE�M ANT L®N� I�J°CTIO I� ,,'�m... k'1.; . r'2;�. Y ✓+ {' § .. — � r3" 3+a �;;qq � �'; �� M �t..�,l�fn HIRE- DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable Name:_ ]UAN BOSCO ORDONEZ Name: Address: 15554 SW 113 ST Address: City: MIAMI State: FL City: State: Zip: 33196 Phone 305-401-2051 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 strunt res, s i ming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING IOW E :Your failure to Record a Notice of Commencement may result in paying twice for impr m nts t our property. A Notice of Commencement must be recorded in the public records of St. Luci u p sted on the jobsite before th first inspection. If intend t obtain f' It K�w F2 L e rs Inspec Ion. you In en o o aln financing, consult with le �e me before commencing work or recording our Notice of Commencement.