HomeMy WebLinkAbout003 Permit App SignedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
ALL
17
L 177
° c t� ` Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: New Single Family Home
PROPOSED IMPROVEMENT LOCATION:
Address: 10417 Muller Rd., Ft Pierce, FL 34945
Property Tax ID q: 2334-701-0003-D00-5
Site Plan Name: 10417 Muller Rd
Project Name: Hernandez Residence
DETAILED DESCRIPTION OF WORK:
x
Lot No. 3
Block No.
New single family home. CBS Structure with wood trusses and 5v metal roofing system. 3 bedroom, s.b ba[ns, [car
New Electrical Meter X Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to
be performed under
this permit —check
all that apply:
X Mechanical
Gas Tank
_ Gas Piping
_ Shutters X Windows/Doors _ Pond
x Electric x Plumbing _Sprinklers
Total Sq. Ft of Construction: 2804
Cost of Construction: $ 400,000
Generator x Roof
Sq. Ft. of First Floor: 2804
Utilities: _ Sewer X Septic Building Height: 25'3"
OWNER/LESSEE:
Name Daniel and Heather Hernandez
Address: 10417 Muller Rd
City: Ft Pierce State:
Zip Code: 34945 Fax:
Phone No. 772-359-2572
E-Mail: crystalcleanteam@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
6-12 Pitch
CONTRACTOR:
Name: Jared Modine
Company: Cole Construction Services, LLC
Address- 497 S. Brocksmith Rd
City: Ft Pierce State: FL
Zip Code: 34945 Fax:
Phone No 772-519-0558
Mail coleconstruction@hotmail.com
State or County License 29778
If
value of
construction is
2500 or more, a RECORDED Notice or c.ommencemenc is regwrea.
If
value of
HAVC is $7,500
or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION
LIEN LAW
INFORMATION:
DESIGNER/ENGINEER: _ Not
Name: FL Design Build Insped Oonsimceen NUibcWre
Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City: State:
Zip: Phone nz"]21 45M
FEE SIMPLE TITLE HOLDER: x Not
Name:
Applicable
BONDING COMPANY:
Name:
x Not Applicable
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 Count 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
n 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
improvements to 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 lerider or an attorney before commencing work or recorging your 4VUce F ormencement.
STATE
Swor o (or affirmed) and subscribed before me of
_ Ph sical
Presence �orOnline Notarization
this day of Oe FLes� /. 2024 by
Jot/.Pd 941,ixo!
Name of person making statement.
Personally Known OR Produced Identification
Type of Idptltifijlation
Contractor
fLORIDA
OF ST CGc r
ffirmed) and subscribed before me of
Swgsn to (or a
✓ Physical Presence or _Online Notarization
this�dayof 12r&J'//,�i ,2024 by
Name of person making statement
Personally ICriown � OR Produced Identification
Type of Id�ntificatio
igna[u e ry Public- St i a ignatu of fib Public- State of Florida I
Commis on No. ft Q I "�SeP"a"sr'dFw,oC'p is wn N fkF} �I Zio '�Wr'e J>trrwaAs�stned
Mr C �ae rry camrw HH os
�aw^" E�0•s�t
REVIEWS FRONT ZONING SUPERVI S VEGETATION SEAT R L A
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
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