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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 06/22/2021 Permit Number: ° - Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue,Fort Pierce F134982 Phone:(772)462-1553 Fax: (772)462-1578 e PERMIT APPLICATION FOR:construction of new single family home PROPOSED IMPROVEMENT LOCATION: Address: 9505 S Indian River Drive Qov-r 'St Lvct c- Au.. 9 P or perty Tax ID#: 3519444-0001-000-3 Lot No. Site Plan Name: Block No. Project Name: Freeland Residence DETAILED DESCRIPTION OF WORK: Construction of a new'.Gki I New Electrical Meter Yes Second Electrical Meter I CONSTRUCTION INFORMATION: Addit' nal work to be performed under this permit—check all that apply: ' 7chanical s Tank _Gas Piping _Shutters ZIndows/Doors _Pond '� Electric v Plumbing _Sprinklers _Generator Roof (A Pitch !Total Sq. Ft of Construction: 1564 Sq. Ft, of First Floor: 1066 under air Cost of Construction: $ 168000.00 Utilities: _Sewer v**"Septic Building Height: 14 feet OWNER/LESSEE: CONTRACTOR: Name Dennis Freeland and Janice Freeland Name. l - Address:9505 S Indian River Drive Company: City: Fort Pierce State: (—L— Address: 6;Q7^ A/'WQ�&11 iy P Zip Code: 34950 Fax: city:PARG0,G State:VL. Phone No.954-304-1336 Zip Code: 3s©ro_2�1 Fax: E-Mail:DF4454@aol.com Phone No SLo ( 2Jo-L g0tog Fill in fee simple Title Holder on next page(if different E-Mail WeL)00 (�� (IAII ,Cahk from the Owner listed above) State or County License 1 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required. \ II "MU, ("� ':l `�$A b.,' ' d N' +. t ,_N ','+ ..Z NAM,k Yw _ r a DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: max_Not Applicable Name:Scott Sanders Name:NIA Address:3578 Roiling Acres Road Address: City: Paee State: R City: State: Zip: 32571 Phone772-774-8068 Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: x Not Applicable N a m e:Dennis and Janice Freelamd Na me:N/A Address:8505 South Indian River Drive Address: A Dle..•e F CIty:F�.�. - �rE City: Zip: 34950 Pho e:854-304-1386 Zip: Phone: OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a' permit to clothe work and installation as indicated. II 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 i Which is in conflict with any applicable Home Owners Association rules,bylaws or and covenantsthat 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 plying twice for improvements to your roperty. A Notice of Commencement must be recorded in the public records of St. Lucie County al Ste on the jobsite before the first inspection. If you intend to obtain financing, consult with lend or attorn bpfpre commencing work or recording ur No ' f Commencement. C�' rL Signature of Owner Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORID COUNTY aria-� COUNTY OF t(p(Q�R3 7isSwn to or affirmed)and subscribed before me of wo to(or affirmed)and subscribed before me of Physical Prese ce or Online Notarization hysical Presence or Online Notarization ay u t­t 202A by this day of tTVi_ 20M by A—Z I I Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known_�OR Produced Identification Type of Identification Type of Identification Produced Produced a e of Notary Public- a ri ela A Caroussos ( nature of N ry Pu ic, t of Aib�d1?1+ic State of Florida My Commiaaion GG 198468 Angela A Ca4Qroussos Commission No. '►a.w (�S aO2°i2c� mission No. ww Expire mp�Giozi lsaasa 1 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. I