HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: August 23, 2021 Permit Number:
s`t 1 LLCM
® 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: (2) CONCRETE DRIVEWAY COLUMNS
PROPOSED IMPROVEMENT LOCATION:
Address: 9632 ENCLAVECIRCLE PORTST. LUCIE FL. 34986
Property Tax ID #: 3322-800-0012-000-1 Lot No. 9
Site Plan Name: Block No.
MAYRIDES RESIDENCE
Project Name:
DETAILED DESCRIPTION OF WORK:
(2) CONCRETECOLUMNS WITH FOOTERS& LIGHTS FOR THE DRIVEWAY
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond
X Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2000
Sq. Ft. of First Floor:
Utilities: ^ Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name THOMAS & MIRIAM MAYRIDES
Name: YVONNEP. DUDLEY
Address: 9632 ENCLAVECIRCLE
Com pa ny: VILLADELTA CONSTRUCTION CORP. LLC
City: PORTST. LUCIE State: FL
Zip Code: 34986 Fax:
Phone No.
Address: 1425 SE VILLAGE GREEN DRIVE
City: PORTST. LUCIE State: FL
Zip Code:34952 Fax:
Phone No
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail YVONNE@VILLADELTA.COM
State or County License CGC1509027
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name: PRONTOPLANSLLC
Name:
Address:1425 SEVILLAGEGREEN DRIVE
Address:
City: PORT SAINT LUCIE State: FL
City: State:
Zip: 34952 Phone 772-245-6781
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: X Not Applicable
_
Name: SAMEAS OWNER
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 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 posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
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Signature of Own r/ Les e/Contractor as Agent for Owner
r
STATE OF FLORIDA��CJUYj
COUNTY OF
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Sworn to (or affirmed) and subscribed before me of V Physical Presence or Online Notarization
this day of 210 by
e_
Name of person making statement .
in
Personally Known `� OR Produced Identification
Type of Identifi tion Produced_
(Signature of IA111ry Pu ic- State of FI ri
Commission No. „�io#}�041M
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Rev5/20/21