HomeMy WebLinkAboutBuilding Permit Application - Peavy All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
4 ;�
' 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)462-1578
PERMIT APPLICATION FOR: Peavy Residence
PROPOSED IMPROVEMENT LOCATION: Sandalwood Estates
Address: 85 Pinewood Ln.
Property Tax ID#: 2407-801-0018-000-3 Lot No. 3
Site Plan Name: Peavy residence Block No. B
Project Name: Sandalwood Estates
DETAILED DESCRIPTION OF WORK:
4,3,2 Single family home
New Electrical Meter yes Second Electrical Meter no
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
XMechanical �GasTank _ Gas Piping Shutters X Windows/Doors _Pond
X Electric X Plumbing _Sprinklers _Generator X Roof 6112 Pitch
Total Sq. Ft of Construction: 3410 Sq, Ft. of First Floor:
408,314.00 Utilities: Sewer X Se Building Height:
Cost of Construction: $ — tic— p � g
OWNER/LESSEE: CONTRACTOR:
Name Mark Peavy Name: Mark Montalto
Address: 711 Gardon Ave. Company: PSL Properties Inc.
City: Fort Pierce State: FI. Address: 201 SW Psl Blvd.
Z€p Code: 34982 Fax: N/A City: PSL State: Fl.
Phone No. Zip Code: 34984 Fax: N/A
E-Mail: N/A Phone No 772-336-0050
Fill in fee simple Title Holder on next page ( if different E-Mail pslpropl@grnail.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.
1f value of HAVC is$7,500 or more,a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINFER: Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Paul Welch Inc. Name:
Addres,�: I Ub4 6VV Biltmare St. Address:
City: Hsi State: FI. City: State:
Zip: 34984 Phone 772-785-9888 Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: City:
rip: 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 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 p sted on the.Labsite before the first inspection. If yo 'nt d to obtpin financing, consult
with lender or a,�AtlorneybefRfe cvnmencing work or recordin o ce of C mencement,
Z
4
Signature Ow er/Less e Cont actor as Agent for Owner Signatupdof Contractor/ icense Holder
STATIC OF FLORIDA STATE OF FLORIDA
COUNTY OF 4Z - LA LP, COUNTY OF 57
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
P,�sical Presence or Online Notarization X Physical Presence or Online Notarization
this i'day of y(,. 2024 by this_�ft day of i4Q� 12020 by
L4)flo 40C4aT1+)Tv M&U Th I f b
Name of person making statement. Name of person making statement.
Personally{mown X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced Produced
I TI (%V�Y J,-�_R/1a V An , W) I ,
(Signat r of Notary Public tat o i (Sign tore of Notary Pub I
ota Public State of Florida
y Robin L}�BgWen `�AY° } Nola Publ' State of Florida
Commission No. - Moab
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or c� wa y commission GG 298212
or�o Expires 02/04l2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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DATE
COMPLETED
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