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HomeMy WebLinkAboutBuilding Permit Application1 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5/14/2021 Permit Number: u p , ©cW7 RECEIVED JUN 0 9 20 ° 21 0 Building Permit Application St, Lucl®County Planning and Development Services Permitting Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: SINGLE FAMILY RESIDENCE PROPOSED IIVIPROVEM`ENT LQCATION Address: GULLOTTI PL-ST LUCIE GARDENS 24 36 40 BLK 2 N 165 FT OF S 330 FT OF LOT 6 Property Tax ID #: 3414-501-1006-350-5 1� I( �"� Ql, Lot No. 6 Site Plan Name: GULLOTTI PL-ST LUCIE GARDENS Block No. 2 Project Name: JACK AND LYNN BRADY DETAILED DESCRIPTION .OF WORK NEW SINGLE FAMILY RESIDENTIAL CONSTRUCTION New Electrical Meter yes Second Electrical Meter CONSTRUCTION INFORMATION Additi nal work to be performed /Mechanical Zplumbing Gas Tank — Electric under this permit — check all that apply: / _ Gas Piping Sprinklers Total Sq. Ft of Construction: 2048UA/3137UR Cost of Construction: $ 425,000 _ Shutters _ Windows/Doors _ Pond _ Generator V Roof 6/12 Pitch Sq. Ft. of First Flo�o : SAME Utilities: _Sewer V Septic Building Height: 20 FT 10 IN 01NN;ER%LESS=EE _ CONTRACTOR Name JOHN S AND LYNNE K BRADY Name: RICHARD A ADAMS III Company: RA CONSTRUCTION CORP OF THE TREASURE COAST Address:523 SWEET BAY CIRCLE City: JUPITER, FL State: _ Address: 850 N. FEDERAL HWY., STE 226 Zip Code: 33458 Fax: City: STUART State: FL Phone No.561-317-6495 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. ISUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION I ❑ Not Name JTf�IJLk. Mailingg Address Q S City K 155 1 m M IEl Zip Phone Applicable Mortgage Company: �T Name ;`l Mailing Address State City %0()0 QL-r Zip Phone Fee Simple Title Holder's Name: ❑ Not Applicable Name Mailing Address City State Zip Phone Bonding Company: Name Mailing Address City Zip Phone ❑ Not Applicable State ❑ Not Applicable State Notice to Owner: There are some properties that may have deed restrictions recorded upon them. These restrictions may limit or prohibit the work applied for in your building permit. It may be to your advantage to check and see if your property is encumbered by any restrictions. Owner/Contractor Affidavit: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. In consideration of the granting of this requested pennit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Code 7th Edition (2020) and Martin County Amendments. Plan revisions on all structures exempted by code from architect/engineer design may be done by permit holder. 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 job site before the first inspection. If you intend to obtain financing, consult with your lender or an attorney before commencing work or recording your Notice of Commencement. I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Sign of Owner/Agent/Lessee STATE OF FLORIDA COUNTY OF MARTIN The ftrumen was cknow,led ed before me this/n�f /i I9'20�by JOHN BRADY/ LYNNE BRADY (Na of Person Ac i7-47�L g (' lure of N ary Public — State of Florida) (Print, Type, or Stamp Commissioned Name of Notary Public) Personally Known OR Produced Identificationy Type of Identification Produced a A L of Contractor/License Holder STATE OF FLORIDA COUNTY OF MARTIN The fore of g instrume t as ac] owled ed before me this fore of 200 by (Name o rs Acknowle n f (Sign f Notary P lic — State of Florida) (Print, Type, or Stamp Co issioned Name of Notary Public) Personally Known OR Produced Identification Type of Identification Produced _ All" CHERYL A. FI K `�: CHERYL A. FINK Notary Public -State of Florida (FBC 7th Edition 2020) 1��= Commission #GG 216951 ;•oF�;,= 16951 y P y My Comm. Expires Ma 13, 2022 M Comm. Expires May 13, 2022 ADA Accessibility Disclosure Statement — This document may be reproduced upon request in an alternative format by contacting the County ADA Coordinator (772) 320-3131, the County Administration Office (772) 288-5400, Florida Relay 711, or by completing our accessibility feedback form at www.martin.fl.us/accessibility-feedback Rev. 01-21 /