Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATION (HERNANDEZ)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: a Permit Number: Uo LUCCE 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 PERMI I APPLICATION FOR: Hernandez Residence PROPOSED IMPROVEMENT LOCATION: Indian River Estates .Birch Or Property Tax ID #: 3402-609-0411-000-6 Site Plan Name: Bedford Project Name: Hernandez Residence DETAILED DESCRIPTION OF WORK: 3,2,2 Single tamily home New Electrical Meter yes Second Electrical Meter no CONSTRUCTION INFORMATION: Additional wori<to be performed under this permit— check all that apply: xMechanical _Gas Tank _Gas Piping x Electric x Plumbing Total Sq. Ft of construction: 2073 Cost of Construction: $ 237,532 Sprini(lers _ Lot No. 13 [(No. 63 Shutters _X Windows/Doors _Pond Generator x Roof 6/12 Pitch Sq. Ft. of First Floor: 2073 Utilities: _Sewer x Septic Building Height: OWNER/LESSEE, CONTRACTOR: Name Calex Hernandez Name: Mark Montalto Address: 611 East 7th St. Company: PSL Properties Inc. City: Hialeah State: FI Zip Code: 33010 Fax: Phone No. 786-210-3096 Address: 201 SW PSI Blvd, City: PSL State: FI, Zip Code: 34984 Pax: N/A Phone No 772-336-0050 E-Mail: calex411@gmail.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mall pslpropl @gmail.com State or County License CBC1263072 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 MORTGAGE COMPANY: X Not Applicable — Name: Paul Welch Inc. Name; Addre I more t. Address: State: City: State: FI, City: Zip: 984 Phone 772-785A9888 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 Count yy makes no representation that Is granting a permit will authorize the permit holder to build the subject structure prohibit such Association rules, bylaws or and covenants that may restrict orp which Is in contlict with any applicable Home Owners pI . Please consult with your Home Owners Association and review your deed for any restrictions which mayapply. structure. 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, non-residential use accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for be in the public records of St. improvements to your property. A Notice of Commencement must recorded first inspection. If intend to obtain financing, consult Lucie County and posted on the J, site before the yo recorrddiin�o Notice of Corr - cement, with lender or a tto one bef/' commencing work or PSIgnature:01' wner/ LesseqXontractor as Agent for Owner Sign re of Contractor/ Icense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTYOF Si L,)CA P COUNTY OF <S 1, )CJC Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presence or online Notarization Y Physical Presence or Online Notarization '- 202Q by this, day of i v ice— ZBZm by this j day of i` t t� iYi#1n Ir VYit Jl rtk f t q �� t� l�i/'Yi7G} j % �:HP Name of person making statement. Name of person inaking statement. Personally Known X OR Produced Identification Personally Known X OR Produced Identification Type of Identification Type of Identification Produced Produced (Sign t ire of Notary Public- State of r (SI natuie of Notary Publ' -�s�tp pf otary Public State of Florida '� Robin L B en J+'w Notary Public Slate f b'tl M C J`i�' 2e0212 Gowen No. t� C �,� P( �ofhinis n Nofe ",':cif q y � i/2 ap Expires commission J _ 02/O4/2023 OF 23 My Commission N My Commission GG 290212 Expires 02/04/2023 w ape REVIEWS SUPERVISOR PLANS VEGETATIONS A TU LE MANGROVE REVIEW CFRONT OUNTER RENING VIEW W REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.