HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE G .PLETED FOR APPLICATION TO BE ACCEPTED ']
Date: 4-11-21 Permit Number: �"` 04YC -"
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Building Permit Application
Planning and Development Services
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: Single family new construction
PROPOSED IMPROVEMENT LOCATION; ,T`>
Address: 10327 Muller RD Ft Pierce FI 34945
Property Tax ID #: 2334-701 -0001 -000-1
Site Plan Name: HARGRAVE
Project Name: HARGRAVE
DETAILED DESCRIPTION O2F WORK:';
New construction 4bedroom2 bath 2 car garage
New Electrical Meter X Second Electrical Meter
Lot No.1
Block No.
CONSTRUCTION INFORMATION:"
Additional work to be performed under this permit -check all that apply:
/Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors _ Pond
/Electric elfl-umbing _ Sprinklers _ Generator --�Roof Pitch
Total Sq. Ft of Construction: 2915
Cost of Construction: $ 300,000
Sq. Ft. of First Floor: 2226
Utilities: —Sewer —Septic Building Height: 21'
OWNER%LESSEE:
CONTRACTOR:
Name chri"s 0
Name: Cc4d4( Pglivs ,-
f✓
Address: U 56 (IJ01 IZ h
Company: iA
City: �Drd Sly/ �fCC,� State:
Address:
Zip Code: 37 Qg3 Fax:
City: porl�_ 0-
State:��
Phone No. aV` �'i 95-
Zip Code: 3 4�iQ-7 Fax::
E-Mail: Q A (Q A Y-A
Phone No 7�-3 `��Y
Fill in fee simple Title Holder n next page ( if different
E-Mail fV 6
!?' "(e eo-m
from the Owner listed above)
State or County License If
17g�
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 �LIEiN aLA11U IN i, kk �TI'xON
d
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: M.A. Corson and Associates Name: Center State Bank
Address: 412 Colorado Ave Address: 301 Atlanta Rd SE
City: Stuart State: Fl City: Smyrna State: Ga
Zip; 34994 Phone772-223-8227 Zip: 30080 Phone:404-563-7101
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
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 o the jobsite before the first inspection. If ou intend to obtain financing, consult
with lender or an auevi&iSefore commencing rk or recor ' ou Notice of Commencement.
Signa of Owner/ Lessee/Contractor as Agent for Owner
Signature o ctor/License Holder
STATE OF FLORIDA
�
STAT F FLORIDA��-/
COUNTY OF 5L ;L
COU T Y OF
Sworn to (or affirmed) and subscribed before me of
Sword (or affirmed) and subscribed before me of
Physical Pre ence or Online Notarization
this 1Q day of �i(1%r 202� by
c- Ph sical Presence or Online N tarization
this day of AAN� , 202$ by
Name of person make statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known --'OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- S br do)
' � C AG95661
(' nature of Notary Public- State Q8t1
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f.+G14
Commission No. =� �•r
°�bG[ a ' Feb: 9, 202
' Q No
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Commission No.66 S ly ...� al Ibet; Fgb, 9,
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TAru-Amon
& ded Thlu Aaron
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
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MANGROVE
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REVIEW
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REVIEW
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REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 5/b/ZU