HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/18/2021 Permit Number:
91To
O
P Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XXX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Jason & Lisa Finn Single Family Residence
PROPOSED IMPROVEMENT LOCATION:
Address: To be Determined by Permit
Property Tax ID#: 3405-443-0005-000-8 / 3405-443-0002-000-7 Lot No.
Site Plan Name: Finn Single Family Residence Block No.
Project Name: Finn Single Family Residence
DETAILED DESCRIPTION OF WORK:
Construction of Single Story CBS Single Family Residence
New Electrical Meter XXX Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _ Pond
Electric _ Plumbing _Sprinklers _Generator _ Roof 5:12 Pitch
Total Sq. Ft of Construction: 2,415sq ft Sq. Ft. of First Floor: 2,415 sq ft
Cost of Construction: $ $395,000 Utilities: —Sewer _Septic Building Height: 16 ft
OWNER/LESSEE: CONTRACTOR:
Name Jason & Lisa Finn Name:Scott Holmes
Address: 5151 NW Rugby Drive Company: Gulfstream Building Group, Inc
City: Port St. Lucie State:_ Address:2751 Tall Pine Street
Zip Code: 34983 Fax: No Fax City: Fort Pierce State: FI
Phone No. 772-332-8140 Zip Code: 34945 Fax: No Fax
E-Mail:sholmes@gulfstreambuildinggroup.com Phone No 772-332-8140
Fill in fee simple Title Holder on next page(if different E-Mail sholmes@gulfstreambuildinggroup.com
from the Owner listed above) State or County License CGC1527735
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: xxx Not Applicable
Name:Archtechtonic Name:Seacoast Bank
Address:806 Deleware Ave Address: 1790 SW Gatlin Blvd
City: Fort Pierce State: FI City: Port St.Lucie State: Fla
Zip: 34950 Phone 772-567-1402 Zip: 34953 Phone:772-807-8158
FEE SIMPLE TITLE HOLDER: xxx Not Applicable BONDING COMPANY: xxx Not Applicable
Name: 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.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
Sworn to(or affirmed) and subscribed before me of Sworn to(or affirmed) and subscribed before me of
Physical Presence or xxx Online Notarization Physical Presence or xxx Online Notarization
this 18th day of August , 2020 by this 18th day of August , 2020 by
Scott Holmes Scott Holmes
Name of person making statement. Name of person making statement.
Personally Known xxx OR Produced Identification Personally Known xxx OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida )
Commission No. 143129 (Seal) Commission No. 143129 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5 6 20