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
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