HomeMy WebLinkAboutBuilding Permit Application..: ii- �-
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: r„ 1 g---
RECEIVED
hw 11 2021
Building Permit Application
Pr�rmilting Department
St. Lucie County
Planning and Development Services
Building and Code Regulation Division Commercial Residential YES
2300 Virginia Avenue, Fort Pierce F134982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Rodney Hall Concrete Construction, Inc
PROPOSEDIMPROVEMEN,T,LOCATION:; Single,Famlly:Residence 5 Bedrooms; 2,bathrooms
Address: 11771 Appaloosa Court, Fort Pierce, FL 34987
Property Tax I D #: 3309-605-0026-000-2
Site Plan Name:
Project Name:
Lot No.23
Block No. A
DETAILED. DESGR`IPTIO,N-OF.INORK
Construction of a Single Family Residence. 4 Bedrooms, 1 Bonus (Play) room, 2 Full Bathrooms. Living area 2379 SQF, Non Living Area 844nSQF,
Total SQF 3223
New Electrical Meter YES Second Electrical Meter
CONSTRUCTION' I'NFOR'MATION .
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 3223
Cost of Construction: $ 241,725.00
Sq. Ft. of First Floor: 3223
Utilities: —Sewer _Septic Building Height: 20' - 11"
`OWNER/LESSEE:
CONTRACTOR
Name Rodney Hall Concrete Construction, Inc
Name: John Cabibbo
Address: 6303 South Header Canal Rd.
Company: Rodney Hall Concrete Construction, Inc
City: Fort Pierce State: _
Address: 6303 South Header Canal Rd
Zip Code: 34987 Fax:
City: Fort Pierce State: FL
Phone No. 772-468-8469
Zip Code: 34987 Fax:
E-Mail: rhallconcrete@aol.com
Phone No 772-468-8469
Fill in fee simple Title Holder on next page (if different
E-Mail rhallconcrete@aol.com
from the Owner listed above)
State or County License CGC 1520984
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.
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
x Not Applicable
Name: Summit Design & Forensics, Inc. - Brian J. Maskol, PE
Name:
Ad d ress: 725 SE Port St Lucie Blvd., Suite 203
Address:
City: PortSt Lucie State: FL
City:
State:
Zip: 34984 Phonen2-285-0572
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY:
x Not Applicable
_
Name: Rodney Hall Concrete Construction, Inc
Name:
Address: 6303 S Header Canal Rd,
Address:
City: Fort Pierce, FL
City:
Zip: Phone:
Zip: 34987 Phone:772-468-8468
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 commenciniz work or recording vour Notice of Commencement.
natu a ofOwner/ Lessee/Contractor as Agent for Owner
Signatur o Contr ctor/License Holder
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STATE OF FLORIQQ p
COUNTY OF (�CJI
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Swoo to (or affirmed) and subscribed before me of
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Sworn to (or affirmed) and subscribed before me of
Physical Presery or Online N tariz
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