HomeMy WebLinkAboutBuilding permit App.5305Hickory Dr.All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
ST. LUCIE
COUNTY
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 4624553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Como Residence
PROPOSED IMPROVEMENT LOCATION: Indian River Estate
Address: af30s Hickory DR,
Property Tax ID #l: 3402-608-0435-000-7
Site Plan Name: Sunset Key
Project Name: Como Residence
DETAILED DESCRIPTION OF WORK:
3,2,2 Single family home
New Electrical Meter yes Second Electrical Meter no
CONSTRUCTION INFORMATION:
Additional worl<to
be performed under
this permit— check
all that apply:
XMechanical
^Gas Tank
_Gas Piping
_Shutters
X Electric
X Plumbing
_Sprinklers
_Generator
Total Sq. Ft of Construction: 2320 So. Ft. of Pint Plnnrl
Cost of Construction: $ 245,900
Residential X
Lot No. 41
Block No. 51
X Windows/Doors _Pond
X Roof 6/12 Pitch
2320
Utilities: _Sewer X Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert & Heather Como
Name: Mark Montalto
Address: 308 SW Chandler Ter.
company: PSL Properties Inc.
City: PSL State: A
Zip Code: 34984 Fax: N/A
Phone No. 772-361-9115
Address: 201 SW Psl Blvd,
City: PSL State: FIB
Zip Code: 34984 Fax: N/A
Phone No 772-336-0050
E-Mail: heatherharrison20ll@hotmaii.com
Fill In fee simple Title Holder on next page ( if different
from the Owner listed above)
&Mall_ pslpropl@gmail.com
State or County License CBC1263072
It
value
of
construction Is
Z500 or more, a RECORDED Notice of Commencement 15 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; 8 Phone 772-785-9888
Zip: Phone:
FEE SIMPLE TITLEHOLDER: 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
Association rules, bylaws or and covenants that may restrict orprhibit such
which is in conflict with any applicable Home Owners
Please with your Home Owners Association and review your deed for any restrictions which mayapply.
structure. consult
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,
use
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential
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
the If you btalencement. n financing, consult
Lucie
worl< on repordinn.
lender oran posted on before bsite mmen� n gyM Notice of Co
with
5' nature of Ow r/ Lessee/Con r as Agent for Owner Slgnatof Contractor/Lj ense Holder
ig
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF M l X )C.1,o COUNTY OF 1 L A ire P
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
'X Physical Presence or. Online Notarization
,.�Physical Presence or. Online Notarization
this � day of 01 )1_ � Q y
q
this 'I day of l R �kT_, 2020 by
V. 1r )n cAq O Ma 1 TuVlia lQ.k�QQ' / n�
Name of person making statement, Name of person making statement.
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced
Produced
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(Signs u e of Notary Public- S not re of Notary Publi S FI o in Bowen
yn Notary Public State of Florid My Commission GG 299212
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Commission No. 1 (lin)tlammissionGG296I C mission No
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