HomeMy WebLinkAboutLot 33 TF Permit Application 9.23.2021ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2-366--Virginia -A-v6-n--u--e-,--Fort -P-i--e-rc-e-FL34982--
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
A
o R
Address: 3902 Duneside Drive
Legal Description: Tarpon Flats Subdivion PB 69-27 Lot 33
Property Tax ID#: 1423-566-0036-000-2 Lot No. 33
Site Plan Name: Sosnowski Block No.
Project Name: Sosnowski
Setbacks Front 25 Back: Right Side: 7.5 Left Side: 7.5
New Residence -3bathrooms 3bedrooms 2car Garage
TRVCTIONINFORMATION .'
vCQNS,
Adaitionai work to be performed under this permit — cheCK all apply: L
n HVAC F]GasTank F ]Gas Piping Shutters F]Windows/Doors
nElectric 1:1 Plumbing Sprinklers Generator F]Roof
Total Sq. Ft of Construction: 2833 S Ft of First Floor: 1988
Cost of Construction: $ 413,618.00 Lltilities-C2 Sewer F]Septic Building Height:
Name Chad Ssnowski
Name: Alan Tarpell
Company: AJT Construction Consulting LLC
Address: 6200 9 Mile Road NE
City, Rockford State: MI
Address: 1760 N Jog Road Suite 120
Zip Code: 49341 Fax:
City: West Palm Beach State: FL
Phone No.
Zip Code: 33411 Fax: NIA
E-Mail: fran@phoenixcompaniesfl.com
Phone No. 561-799-5900 Ext 105
Fill in fee simple Title Holder on next page if different
E-Mail:. fran@phoenixcompaniesfl.com
State or County License: CGC-1023854
I
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: GMK Gerald Kagan Name: N/A
Address: 205 worth Ave Address:
City: Palm Beach State: FL City: State:
Zip: 33480 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: NSA Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF %11
The f r oing instru en was cknowledgegl Pefore me
this day o ^ JLZA 20 by
Alan Tarpell 1
(Name of person acknowledging )
(Signature of Notary Publi - State of Florida )
Personally Knowny. OR Produc
Type of Identificatio __ ____- C,_= . coeNrC4 DONZA —�
gnature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The ing instr6�P�U'
t s ac nowledge�cl !bfefore me
rday
this of 20oU by
Alan Tarepll
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known
Type of Identificati
"� MY COMMISSION # HH 111471
Commission No. a: EXP90.11y27,2025 Commission No.
Bonded Thru Notary Public Underwriters
Revised 07/ 1 S/2014
OR Produced Identificati
MY COM Ty # HH 111471
EXPI y 27, 2025
Bonded Thru Notary Public Underwriters
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