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HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 08/16/2021 ST. L CIE OU NT'Y L .. y Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: RESIDENTIAL NEW CONSTRUCTION PROPOSED IMPROVEMENT LOCATION: LONE PINE SUBDIVISION Address: 1408 LONE PINE DR, FT PIERCE FL 34982 Property Tax ID #: 3409-505-0014-000-5 Site Plan Name: KHOURY Project Name: KHOURY RESIDENCE DETAILED DESCRIPTION OF WORK: SFR CBS NEW CONSTRUCTION 2 STORY 4 BEDROOM, 4 BATH, 2 CAR GARAGE New Electrical Meter X Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that apply: ,Mechanical _ Gas Tank _ Gas Piping _ Shutters e Windows/Doors Electric Plumbing _ Sprinklers _ Generator >60of 5/12 Total Sq. Ft of Construction: 4194.5 Cost of Construction: $ 483,326 Sq. Ft. of First Floor: 2616.5 Utilities: _ Sewer XSeptic Lot No.9 Block No, Pond Pitch Building Height: 23.5 OWNER/LESSEE: KHOURY CONTRACTOR: HOMECRETE HOMES INC Name NICHOLAS & MISTY KHOURY Name: ROBERT CENK Address: 9773 SW SANTA MONICA DR Company: HOMECRETE HOMES INC City: PALM CITY State: _ Zip Code: 34990 Fax: Phone No. Address: 2162 NW RESERVE PARK TR City: PORT ST LUCIE State: FL Zip Code: 34986 Fax: Phone No 772-873-6707 E-Mail: MSHOWMAN@HOMECRETEHOMES.COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail BCENK@HOMECRETEHOMES.COM State or County License CGC062378 VU - vi w113u uLAwn n cz;uu ur more, a KtwKutu 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: _ Not Applicable Name: N2 ARCHITECTURE & DESIGN Name: MIDFLORIDA Address: 2081 SE OCEAN BLVD Address: 771 ST LUCIE WEST BLVD City: STUART State: FL City: PORTSTLUCIE State: FL Zip: 34996 Phone 772-220-4411 Zip: 34986 Phone: 772-200-2286 FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: 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 Punty and posted on the jobsite before the first 4 pection. If you intend to obtain financing, consult with reifider pir an attprnev before commencing work clrfecdrdilig VAur Notice of Commencement. VA r/�� KIR. C/ Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contract er STATE OF FLORIDA ISTATE OF FLORIDA COUNTY OF f!* U a-e—, COUNTY OF a 116c Swor to (or affirmed) and subscribed before me of Sworn (or affirmed) and subscribed before me of Physical Pres nce or Online Notarizationsical this day of l 12020 by Pres nce or Online Notarization thisl0dayof 1=x:kL=4 202p by ement. Name of person ma:70R Name of person making statement. Personally Known Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced_ Produced � � Q (Signature of Notary P (Signature of Notary Public- Sta f r' O • Notary public State of Florida Commission No. Meliss0��owman MyCommission GG 294495 Expires 01/24/2023 No�ry Public State of Flo ,1 6seMlssa Commission No. ' D Showman M :_My Commission GG 2944 �j Expires 01/24/2023 id 5 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.