HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE A►CCEPTEP
Date: Permit Number:
Building Permit .Application
Planning and Development Services
Sullding and Code Regulation Division ""ol" rn ncial , ,,— Residential x
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1555 Fax:(772)462-15.78
PERMIT APPLICATION FORSuilding
s � i• Y �,ran ;.�t
Address: 4931 Southwind Trail Fort Plerce, FL 34851
Property Tax ID#: 1418.241-0035,000.1 ry Lot No.�
Site Plan Name- Bill and Lauren Skopelja � Block No. �.
Project Name: Bill and Lauren Skopaija
NEW
t
cr'IN
Y.M't,
Construction fo a new single family residence
New Electrical Meter�Second Electrical ivlete,r r
—�
,
Additional work to be performed under this permit-check all that apple:
k Mechanicai _Gas Tank Gas Piping �. C*hutters x Windows/moors Pond
Electric X Plumbing Sprinklars Generator k Rc�®f 3/12�p0�Pitch
Total Sq,Ft of Construction:� _ Sa. Ft, of First Floor; 2906
Cost of Construction;$ 380,000 Utiiltle,: _Sewer � Septic Building Height: 181„ 0 3i18"
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NarneWilliam R Skopelja Name:Gordon M Worley, �
Address•6605 Green Dolphin Stt _ tom an G.M. Worley, Inc.
City: Port Pierce - .State:,& Address:110 Nw 5th ST
.3'495 i
Zip Code: Fax:rf.,�,..,�..A. .,_.��.�.,...,...- pity; Okeechobee State:Fi
Phone No.(261)808-7701 21p Code: 34972 Fax: 863-467-2238
williarn in _ -467.2541 :
E-Mail: �� juredinflorida.00+� Phone Nti$63 i
Fill in fee simple Title Holder on next pate(if different E,iviail gmworley(mgmall.aom
from the Owner listed above) State or County License CGG1507657 � 6
4f vahie of construction is 2500 or more,a RECORDRI l Notice of Commencement is required.
If value of HAVC Is S7,S00 or more,a RECORDZra tatice w commencement is required.
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DE5IGNER/ENGINEER: Not Applicable MORTGAGE�JC,OM ANY: Not plicab�wl��{h
Nar>ie:EdShinski®Jr - iVarrie; �uTll L Y% -� UI'dh
Address:4704 Wild TurkeyRd Address: Q �- Fr�h
City: Mims State: R City; State: _,
Zip: 32756 �hQC1e321a563�92F3 Zjp; Plane:
FEE SIMPLE TITLEHOLDER: _Not Applicable t304 NG COMPANY: Not Applicable
Name: Name:
Address: Address;
City: City:
Zip: -PR—on---e—: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated,
1 certify that no work or installation has commenced prior to the Issuance of a permit.
St.Lucie Count makes no representation thafi is granting a permit will auti�orize the permit holder to build the subject structure
which is in conflict with an pplicabie Home OwnQrs Asso lation rule ,Isylaw& ran covenants that may re trio or prohibit such
structure.Please consult wiit�your Hume+Owners Assoclatfon and review your dee" or any restrictions whit 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 fiat inspection, If you intend to obtain financing, consult
with lender or=n mft-rrievbefore c mm. ncl arlc or Egearding your Notice of Commencement.
Sig re of Owner/Lessee/ �s Agent for Giv;tn® indture caf Contractor License Ider
STATE OF FLORI A STATE OF FLORIDA
COUNTY OF ) COUNTY OF &2" ._._.�.
w rn to(or affirmed)and subscribed before me of Sw rn to(or affirmed)and subscribed before me of
Physical Pres n e or cniine Notarization V Physical Pres nc or Online Notarization
this 2 day of 2024,by thisL day of�_.. 202 by
rJ � ' �
Name of person making etc ant, Name of person snaking atement.
Personally Known OR Produced identification Personally Known OR Produced Identification
Type of Identification Typo of identifleati n
Produced f Produced
(Sign re of Notary ublic- d a! of P4otary Public-
Y MYRANDAWHIRLS MYRANDAWHIRLS
744
Commission No. ,�y} = (A �MMiSSiON#HH066 4 o mission No. _ MISSION#HHOB(3
:.• .: �I �
EXPIRES November 24,204 Po= EXPIIRES:November 24,2 4
%i rdi�+°•, SoWW Thm Notary Pd k
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
d7A'f'E
COMPLETED
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