HomeMy WebLinkAboutBuilding Permitt ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
NTA LUCIE
COUNTY
F L..OrRylryA
Permit Number:
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
PERMIT APPLICATION FOR: Noelle Massarda
PROPOSED IMPROVEMENT LOCATION: Indian River Estates
Residential x
Address: 5204 Hickory Dr.
Property Tax ID #: 3402-608-0450-000-8 Lot No. 10
Site Plan Name: Massarda Residence Block No. 52
Project Name: Antigua
DETAILED DESCRIPTION OF WORK:
Sinale family home
New Electrical Meter yes Second Electrical Meter no
CONSTRUCTION INFORMATION:
Additional worl<to be performed under this perm(t—check all that apply:
XMechanical ,^Gas Tank _Gas Piping
x Electric X Plumbing
Total Sq. Ft of Construction: I WO
Cost of Construction: $ 186,900
Sprinklers
_
Shutters
_X W(ndows/Doors _Pond
_Generator
Sq. Ft.
of First Floor:
x Roof 6/12 Pitch
1706
Utilities: _Sewer x Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Noelle Massarda Name: Mark Montalto
Address: 131 SW Palm Dr.Apt. 205 company: PSL Properties Inc.
city: PSL State: FI Address: 201 SW Psl Blvd,
Zip Code: 34986 Fax: N/A city: PSL State: FI,
Phone No. 561-284-2868 Zip Code: 34984 Fax: N/A
E-Mail: noellemassarda@icloud.com Phone No 772-336-0050
Fill in fee simple Title Holder on next page ( if different E-Mail pslprop1 @gmail.com
from the Owner listed above) 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.
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.
SUPPLEME
CONSTRUCTION LIEN LAW INFORMATION;
Name: Paul Welch Jr. Inc.
Address: Biltmore St.
City: P State: FI—_
Zip: Phone 772-785-9888
FEE SIMPLE TITLEHOLDER: X Not Applicable
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: L Not Applicable
nt�
Address:
City: State:
Zjp: Phone:
BONDING COMPANY:
Name:
Address:
Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to do the work and Installation as indicated.
1 certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes noyrepresentation that is granting a permit will authorize the permit holder to build the subject structure
structure, Pleasle consult wlthpyolur Home Owners Association and review your deed for any restrictions which may apply iblt such
In In accordance dance with the approved plans, tof this he Florida Building Codes and St, Lucie Couree that I nty AmendIn all mentsperform the work
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 byeyrecorded in the public records of St,
Lucie County and posted on thejobsite before the firstYinsspectearniorlionne if u rotend ofoo?hmi�cementg, consult
Owner
as Aeent for Owner
OF FLORIDA STATE OF FL
fY OFF: 1 L l D P ICOUNTY OF
Sworn to for affirmed) and subscribed before me of
Physical Presence or. Notarization
this day of A o Cn , 202d by
IL trninntYklT/l
Name of person making statement.
Personally Known Y_ OR Produced Identification
Type of Identification
GG 29e212
Commission No.
Sworn to (or affirme
d) and subscribed before me of
X Physical Presence or _ Onlin20 o�tabrization
this day of k .\j G y
IAA�� UO Inn,..-, +w I TD
Name of person making statement.
Personally Known V OR Produced Identification
Type of Identification
Produced
Notary
No.
REVIEWS I COUNTER I RaVIEW I SREVREW R I REVI W I VREVIEWON
�"T�- Nolary Public State of Floritla
Robi�B ven
Ex C 29e212
orn� Expires 02/0412/202323
SEA TURTLE MANGROVE
REVIEW REVIEW