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.
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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
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(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
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