HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED o 10.
Date: Permit 'RCLC1LVCD
�► OCT 01 2021
Building Permit Ap {
Planning and Development Services Ig Department
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: Master Building Permit
SED tMPRO.PFt.OPO. -oM, E 'CaA!I ILON. ,
Address:N/A
Property Tax ID#:NSA y 0 D o' Lot No.N/A
Site Plan Name:N/A ` Block No. N/A
Project Name: Ravinia 3
DET�AI'LED DESCRtPl'!ON OF UVORtC:
Construct a new single family home with 3 bedrooms, 2 bathrooms, and 2 car garage.
CONSTRUCTION i'NEORMA�TION: ° _ � �� °� �
Additional work to be performed under this permit—check all that apply:
X Mechanical _Gas Tank _Gas Piping _Shutters X Windows/Doors
X Electric X Plumbing _Sprinklers _Generator X Roof Pitch
Total Sq. Ft of Construction: 1,936 Sq. Ft.of First Floor:living SF 1,440
Cost of Construction:$73,568.00 Utilities: X Sewer .—Septic Building Height:
OWNER/LESSEE COIVTRACfOR: s
NameSynergy Homes, LLC Name:Synergy Homes, LLC
Address:581 NW Mercantile PI, Suite 106 Company:Synergy Homes, LLC
city:Port St Lucie State: FL Address:581 NW Mercantile PI, Suite 106
Zip Code:34986 Fax: City: Port St Lucie State: FL
Phone No.561-309-8424 Zip Code:34986 Fax:
E-Mail:jeremy@synergyhomesfl.com Phone N0954-557-9735
Fill in fee simple Title Holder on next page(if different E-Mailolivia@synergyhomesfl.com
from the Owner listed above) State or County LicenseCBC1254289
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
77
SUPPLEIV� TA!CONSTRUCTlO [ N U41IV � FQRMAT(Q 4
"
DESIGNER/ENGINEER NotA licable. ° `
W
ullian uonzales PP MORTGAGE COMPANY: Not Applicable -
Name: 'Name:
Address: 14'L. rtlena ra Ln
City: Va , Ing Address:
.-
Stat"e: CitY:
ZIP: ;5jqU > Phone o ,i= ay Stater
:Zip: :Phone: - -
FEES IMPLETITLE HOLDER:. Not:Applicable BONDING"COMPANY; Not Applicable
Name:
Address: ___ Name:
Address:
City.
City:
Zip:: . Phone:: Zip: Phone'
OWNER/CONTRACTOR AFFIDVIT Application1s hereby made to:obtain apermitto do the work and installation as.indicated.I certify that no work or installation has commenced prior to the:ssuance of a permit:
St.Lucie County makes'no representation that is granting a permit Will,authorizethe permit holder.to,build the subject structure;
Which is in conflict with.any,applicable Home Owners Association rules,bylaws or and covenants�that.mayeestrict,or,prohibitsuch
structure..Pleaseconsvlt with yourHome Owners Association and review.your.deed"for any restrictions which mayapply:
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 pians,the Florida Building Codes andSt Lucie County.Amendrrients.
The following,building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools;fenceswalis,signs,screen`rooms and accessory uses to another non-re sidential.use.
W4RNING'TO.OWNER:Yourfailure to Record a:Notice of Commencement may-result in paying twicefor
Improvements to your property.A Notice of Commencement must be' recorded'in the public records of St. .
Lucie.County and posted on the jobsitebefore the first:inspection, Ifyou intend to obtain financing;.consult,:
with lender or.an attorney.before commencingWork or'recordin' our Notice of Commencement:
_
Ji—gnatu4 re of owner/Lessee(Contractor as Agent for Owner - Signature of Contractor/License Holder - - - -
STATE OF FLORIDA STATE OF FLORID
COUNTY OF fr IC'1Q COUNTY�OF
S orn to(or affirmed)and subscribed beforeme of $�wprmto(or affirmed),and subscribed before me of
Physical'Presence or . Online Notarization ?�' Physical Presence or Online Notarization
this�day of }q I 2024 by this day of Z024 b
Nantile of person making-statement.
Name&person ma, Ing statement:
Personally Known OR Produced Identification Personally Known / OR Produced Identification
Type of Identification Type of Identification
Produced
Produced
(Signature of tart'Public=5tafe of F 4ature of Notary ublic-State of FI iCommission No. 13�Z. OLIVIA-FITZGE }� (30��j � >)"MYCOMMSSION# ission N.o. � �# 3�'a� MIM:-May 16;
�iw„ i3XPIR134:inlay 16,
REVIEWS. FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
.DATE
COMPLETED
ev.1/01,20