HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: J-a7. -2 / Permit Number:
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Planning and Development Services
Building Permit Application
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:JOHN & MARGARET LAULETTA
PROPOSED IMPROVEMENT LOCATION:
Address: 804 NW WINTERS CREEK RD. PALM CITY FL 34990
Property Tax ID #: 4422-815-0008-000-6
Site Plan Name: HARBOUR RIDGE - PLAT 21 - LOT K
Project Name: LAULETTA RESIDENCE DEMO
DETAILED DESCRIPTION OF WORK:
DEMOLITION OF EXISTING SINGLE FAMILY RESIDENCE
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Lot No.
Block No.
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ $ 45,000.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJOHN & MARGARET LAULETTA
Name: EARNEST D. CARRERE
Address:804 NW WINTERS CREEK RD
Company: CARRERE GENERAL CONTRACTORS
City: PALM CITY State: _
Zip Code: 34990 Fax:
Phone No.561.319.6791
Address:10305 US HWY ONE
City: HOBE SOUND State: FL
Zip Code: 33455 Fax:
Phone No772.545.2112
E-Mail:jflauletta@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail NICK@CARRERE.COM
State or County License CGC043237
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 I MORTGAGE COMPANY: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:_
Address:
City:
Zip:
Phone:
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 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 recording vour Notice of Commencement.
Si nature of Owner/ Lessee/Col4tra or a Agent'for Mner
Signature of t actor/License Holder
STATE OF FLORIDA GK `Y�
COUNTY OF
STATE OF FLORIDA
COUNTY OF
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Rev. 5/ b/ 20