HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: P• °[ / Permit Number: [ / )�/
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Building Permit Application JUN 12 2017
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: Building I
Address: 3010 NW Radcliffe WAY —
Legal Description: RIVERBEND (PB 67-36)- LOT 4
Property Tax ID #. 4425-703-0009-000-8
Site Plan Name:
Project Name:
Setbacks Front 35.33' Back: 43.77' Right Side: 27.47' Left Side: 11.50'
Lot No. 4
Block No.
Construction of Single Family Residence,,6rBedrooms/5 1/2 Baths/ 3 Car Garage CBS Construction
1
Lr JElectric LJ Plumbing LX.JSprinklers I l Generator Ir I Roof
Total Sq. Ft of Construction: 4906 Lq by S . Ft. of First Floor: 3688
Cost of Construction: $ 42 0 , D 0 0• 100 Utilities: DSewer W1 Septic Building Height: 21'•9"
Roof pitch
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CWN�R LESSEE A' r
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CON`f�iACTOR ri� t
Name Standard Pacific Of Florida
Name: Scott D Harala
Address:15360 Barranca PKWY
Company: Standard Pacific Group of Florida GP Inc
Address: 825 Coral Ridge Drive
City: Irvine State: CA
Zip Code: 92618 Fax:
City: Coral Springs State: FL
Phone No. 954-232-2290
Zip Code: 33071 Fax:
E-Mail: sandi.cooper@calatl.com
Phone No. 954-575-7355.
Fill in fee simple Title Holder on next page ( if different
E-Mail: sandi.cooper@calatl.com
State or County License: CGC1506052
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
5Yls
SUPPLEMENTAL CONSTRUCTION LIEN LAW,INFORMATION
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY:\ Not Applicable
Name: M,,vvsk,,Ani St= I✓^ Name: ,
Address: i 0,2 &— Co i'4 SVe- 0202 Address:
City: r C State:F L— City: State:
Zip:&� 7_ Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
_ Not Applicable
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
_Not Applicable
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded 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 vour Notice of Commencement.
Signature of Owner/ Agent/ Lessee
STATE OF FLORIDA
COUNTY OF Broward
The forgoing instrument was acknowledged before me
this 2 day of June , 20by
Scott Harala
(Name of person acknowledging)
re of Notary Public -State of
Personally Known x
Type of Identification P
Commission No.
Revised 07/15/2014
t•:olary Yufliic
(fig r)�lssicn a FF 915698
fy Cornm. Explfes Sep 7. 20
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Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Broward
The forgoing instrument was acknowledged before me
this 2 day of June 20C by
Scott Harala
(Name of person acknowledging)
ature of Notary Public- State/¢f Florida )
orally Known x OR Produced Identification
of Identification Produ8etf`'~
4� SANDI COOPER
Noe°+���r�t?d Public - State of Florid
nt = Commission tr FF 915698
MV COMM. Expires Sep 1, 201
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