HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: rr Permit Number:
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7 41004,111 � _ m: 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)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 5608 Palm Drive, Fort Pierce, FL 34982
Property Tax I D#: 3402-609-0158-000-4 Lot No.20
Site Plan Name: 5608 Palm Drive SFR Block No. 56
Project Name: 5608 Palm Drive SFR
DETAILED DESCRIPTION OF WORK:
New single family residence (4/2.5/2)
New Electrical Meter X Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
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 Pitch
Total Sq. Ft of Construction: 3,011 Sq. Ft. of First Floor: 3,011
Cost of Construction: $ 188,1 87.50 Utilities: _Sewer X Septic Building Height: 1 7' mean
OWNER/LESSEE: CONTRACTOR:
Name Building Partners LLC Name: Marcio C. Silva
Address: 981 SW Biltmore St Company: Bela Vista Contractors, Inc.
City: Port St. Lucie State: _ Address: 750 E. Sample Rd. 3-2
Zip Code: 34983 Fax: (772) 344-9401 City: Pompano Beach State: FL
Phone No. (954) 815-2700 Zip Code: 33064 Fax: (954) 301-2234
E-Mail: torchingbuildingpartners —gmail.com Phone No (954) 644-3121
Fill in fee simple Title Holder on next page( if different E-Mail belavistacontractors@gmail.com
from the Owner listed above) State or County License CGC1508411
Lfvae of construction is 2500 or more,a RECORDED Notice of Commencement is required.
e 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: Pain Welch _ Name:
Address: 1984 SW Biitmore St Address:
City: Port St Lucie State: FL _ City: __State___
Zip: 34983 Phone 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 inspection. If you intend to obtain financing, consult
with lender or afl iKtorneybefore commencing work or recording our Notice of Commencement.
JSig a ure of Owner/Lessee/Contractor as Agent for Owner
ST TE OF FLORIDA
COUNTY OF Broward
Sworn to(or affirmed) and subscribed before me of X Physical Presence or Online Notarization
this 30th day of June 20 21 by
Marcia C. Silva
Name of person making statement.
Personal no X OR Produced Identification
Type I icati Produced
Signature of Notary P -Sla
e of Florida )
OPES
Commission No. (Seal) =� s = MYCAMWSSION� 34718
�i EXPIRES:My 7,210
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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