HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED D
Dat L� • �J � Permit Number: l )l J
�o�° C 4 toy 19
a Ery D---
19Uo L��[C�C G
��� dti d JUN 03 2021
°..,.. Building Permit Application
ST. Lucie County, Permitting
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR: NEW SINGLE FAMILY RESIDENTIAL CONSTRUCTION
PROPOSED IMPROVEMENT LOCATION: 0 d kjl�(rj lkl
Address: POSTOBELLO (PB 43-30) LOT 2 (5.015 AC) JOHNSON RD GROVE
Property Tax ID #: 1327-806-0002-000-5 Lot No. 2
Site Plan Name: JOHNSON RD GROVE Block No.
Project Name: LOT 2 JOHNSON ROAD
DETAILED DESCRIPTI.ON OF WORK: I
NEW SINGLE FAMILY RESIDENTIAL CONSTRUCTION
New Electrical Meter YES Second Electrical Meter
CONSTRUCTION INFORMATION:
Additi nal work to be performed under this permit— check all that apply:
Y,Mechanical Gas Tank _ Gas Piping _ Shutters Win
ds/Doors v Pond
/Electric 2/ Plumbing _ Sprinklers _ Generator 6/12 - Pitch
Total Sq. Ft of Construction: 267UR� Sq. Ft. of First Floor: SAME
Cost of Construction: $ 465,000 Utilities: _ Sewer y Septic Building Height: 23 FT
OWNER/LESSEE:
CONTRACTOR:
NameJOSE A. VIDES-SIERRA/LISA K. VIDES
Name: RICHARD A. ADAMS III
Address:383 SW NORTH SHORE BLVD.
Company: RA CONSTRUCTION CORP OF THE TREASURE COAST
City: PORT SAINT LUCIE, FL State: _
Address: 850 N. FEDERAL HWY. STE 226
Zip Code: 34986 Fax:
City: STUART State: FL
Phone No.772-240-6170
Zip Code: 34994 Fax: 772-446-4514
E-Mail:
Phone No 772-446-4576
Fill in fee simple Title Holder on next page (if different
E-Mail ADMINASSIST@HOMESBYABURTON.COM
from the Owner listed above)
State or County License CGC1520713
If value of construction is 2500 or more, a RECORDED 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:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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
improvementyfo your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County/and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender r an attornev before commencing work or rec&dine vour Notice oWommencement.
�5iratd a of klivpner/ Lessee/Contractor as Agent for Owner I GYgriature of Contractor/License Holder
STATE OF FLVORIDA ('1 1 STATE OF FLORIDA
COUNTY OF COUNTY OF -M 6
Sworn 5-Or affirmed) and subscribed before me of
yslcal Presence or Online Notarization
this day of 202b by
JOSE A. VIDES-SIERRA �4_ 1
� (� I / j k(
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification I
MARIA D. GOMEZ
Swo <PtC
(or affirmed) and subscribed before me of
ys cal Presen or Online Notarization
this --hay of 2021/ by
RICHARD A ADAMS III
Name of person making st ment.
Personally Known OR Produced Identification
Type of Identification
Produc
�T
(Signature of Notary P I ry i e ofFdA04), N GG zy7'g5.
(Signature of Not* Public- Stat
Comm. Expires Feb 4, 2023
, led
Commission No. "1�` L l led throug� 11nal Notary Assn.
otw` CHERYLA. FINK
•• Fl
Commission No. _ y Public - State
'+® Commission # GG 21691
1 9
°F�q! My Comm. Expires May 13,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
[MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
RECEIVED
COMPLETED