HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Or. 1.011C
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) 4624578
PERMIT APPLICATION FOR: Kathleen Merritt
PROPOSED IMPROVEMENT LOCATION: River Hammock Ln
Address: 2205 River Hammock Ln.
Property Tax ID #: 3404-313-0011-180-5
Site Plan Name: Merritt Residence
Project Name: Custom Maui
DETAILED DESCRIPTION OF WORK:
Sinole family home
New Electrical Meter yes Second Electrical Meter no
CONSTRUCTION INFORMATION:
Lot No. 10
Block No. 4,36,40
Additional worl<to be performed under this permit —check all that apply:
XMechanical _Gas Tank _Gas Piping _Shutters X Windows/Doors _Pond
x Electric X Plumbing _Sprinklers
Total Sq. Ft of Construction: 2797
Cost of Construction: $ 281,900
Generator x Roof 6/12 Pitch
_
Sq. Ft. of First Floor: 2797
Utilities: _Sewer X Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Kathleen Merritt
Name: Mark Montalto
Address: 11115 SW Wyndham
company: PSL Properties Inc.
City: PSL State: FI,
Zip Code: 34987 Fax: N/A
Phone No.
Address: 201 SW Psi Blvd,
City: PSL State: FI.
Zip Code: 34984 Fax: N/A
Phone No 772-336-0050
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail psipropl@gmaii.com
State or County License CBC1263072
If value
of
construction is
2500 or more, a REGORDEU Notice of commencement is requirea.
If value
of
HAVC is $7,500
or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION$
MORTGAGE COMPANY:
Name: Paul Welch Inc.
Addre i more t.
City: State: FI.
Zip: 3TSU4 Phone 772-785-9888
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Zip; — Phone:
X Not Applicable
Address: State:
City:
Zip; Phone:
BONDING COMPANY:
Name:
Address:
City:__
zip; Phom
x Not Applicable
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 a representationplcthat
e Owners Assoclationi rwill
esabylaws or and covenants that build prohibit such
which is in conflict with any applicable
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
IIn consideration of the n accordance with the approved plansof this rthe Florida Building Codes aI do nd St. Lucie Couree that I nty Amendments*
the work
w: room additions,
The following building permit applications
ools, fences, wal spsigns screen undergoing a full concurrency rooms and accessory uses to another non-residential use
accessory structures, swimmingg p
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 financing,
consult
Lucie County and posted on the Iobsite before the first Inspection. If you intend to obtain financing,
with lender or anattorDey beforeyommencing work or recording your Notice of CoUILRencement.
Agent for Owner
STATE OF FLORIDA '
COUNTY OF ST %�Lt e
Sworn to (or affirmed) and subscribed before me of
.� Physical Presence or_Online Notarization
this..O�day of lSu1�— 2o2q by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
,�pv+ Notary Public Slate of
CommissionNo.G� 1GP1a l�I�_ � a@IjRobinLBowen
My Ces 0210 12 23 2
:� Expires 02/0412023 FRONT ZONING
STATE OF FLORIDA
COUNTY
Sworn to (or affirmed) and subscribed before me of
Physical Presence or,_Online Notarization
this day of ,Q 202p by
Name of person making statement.
Personally Known i OR Produced Identification
Type of Identification
Produced
Notary P
Stale of Flonaa
en
m GG 29e212RU
REVIEWS I COUNTER I REV- W I SUPERVISOR REVIEW I REVIEW I VREVIEWON I S REV EWLE I MREVIEW