HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Ofo L0CQL tot000
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° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 4624553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Farinas Residence
PROPOSED IMPROVEMENT LOCATION: Indian River Estates
Address:
Property Tax I D #:
Site Plan Name:
Project Name: In
River Estates
3402-610-0645-000-9
Farinas Residence
than
DETAILED DESCRIPTION OF WORK;
3.2.2 Sinale famiiv home
New Electrical Meter X Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 1
Block No, 95
Additional wori<to
be performed under
this permit—checl<all
that apply:
XMechanical
_Gas Tank
_Gas Piping
_Shutters x Windows/Doors _Pond
X Electric
x Plumbing
_Sprinklers
_Generator x Roof 6/12 Pitch
Total Sq, Ft of Construction: 2330
Cost of Construction: $ _9761goo
Sq, Ft, of First Floor: 2330
Utilities: _Sewer ci_ Septic Building Height: 12'-2"
� OWNER/LESSEE;.
CONTRACTOR:
Name Tyler Farinas
Name: Mark Montalto
Address: 111 SE Sito Ct.
Company: Port St. Lucie Inc.
City: PSL State: Flo
Zip Code: 34983 Fax: N/A
Phone No,
Address: 201 SW Psi Blvd,
City: PSI State: Flo
Zip Code: 34984 Fax: N/A
Phone No 772-336-0050
&Mall:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mall psipropl@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.
MENTAL CONSTRUCTION LIEN LAW INFORMATION:
R/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: X Not Applicable
aul Welch Inc.
r
Name:
I more t.
Address:
State:
State: FI.
City:
4 Phone 772J85-9888
Zip: Phone:
FEE SIMPLE TITLEHOLDER: X Not Applicable
BONDING COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City:
City:
F
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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
may alprohibit such
land
review your deed for any restrictions which
struCtureI Pleasle consult any applicable
Association
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
Amendments.
in accordance with the approved plans, the Florida Building Codes and St. Lucie County
undergoing review:
Ires dential use
The following building permit plools,
ory uses toanotherother non
accessory structures, swimmingg p fences, wallspsigns, screen rooms and accessr
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
be in the records of Stl
improvements to your property; A Notice of Commencement must recorded public
the IfyoNintend financing, consult
orndaostrn obtherecommensite �nworl<orirecording iceofoobmlencment.
with lender
Signatur f Ow er/ Les /Contras or as Agent for Owner Sign ure of Contr or/License Holder
STATE OF FLORIDA STATE OF FLORA 0
OF T. WCA P
COUNTY OF iT 1 ]. 9 f COUNTY
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Online Notarization
X Physical Presence or _ Online Notarization X Physical Presence or _.
� 202I} by
this, day of �,w C 2020 by thist � day of A
\MYkSCLVVI(4A fTat+T -
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Name of person making statement. Name of person making statement.
Personally Known )C OR Produced Identification Personally Known )4._ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature f Notary Public- d o ignature of Notary Publi - a e o a o
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