HomeMy WebLinkAboutPermit Application Lot 17 Flynn 10.21.2021ALL 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
2300 Virginia Avenue, Fort Pierce FL 34982
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
PROPOSED IMPROVEMENT LOCATION:
Address: 8024 S Ocean Drive Jensen Beach Florida
Legal Description: Diamond Sands Plat NO 2 (PB 54-40 lot 17
Property Tax ID #: _
Site Plan Name: Flynn
Project Name: Flynn
3527-501-0018-000-4
Setbacks Front 29' Back: 40' Right Side: 7•6 Left Side: 7.6
DETAILED DESCRIPTION OF WORK:
New Residence 2 Car Garage / 6 bathrooms 4 bedrooms
Lot No. 17
Block No.
Additional worK to be newormed under tnis permit — cnecK all tnat apply:
E1HVAC 11 Gas Tank Gas Piping _ Shutters L1 Windows/Doors
❑ Electric ❑ Plumbing Sprinklers ❑ Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floors
Cost of Construction: $s �cQ 1, A4 9 . 00 Utilities: Lr JSewer E]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Timothy P Flynn
Name: Alan Tarpell
Address: 3359 Saddle Wood Ct
Company: AJT Construction Consulating LLC
City: Lansdale State: PA
Zip Code: 19446 Fax:
Phone No. 561-799-5900 Ext 105
Address: 1760 N Jog Road Suite 120
City: West Palm beach State: FL
Zip Code: 33411 Fax:
Phone No. 561-799-5900 Ext 105
E-Mail: fran@phoenixcompaniesfl.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Fran@phoenixcompanies
State or County License: CGC-058625
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: RandallscoHt
Address: Swinton Ave
City: Delray Beach Florida State:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: N/A
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: NIA
Address:
BONDING COMPANY: Not Applicable
Name: N/A
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.
0-- s
_ Signature of Owner/ Lessee/Agent nature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID
��, &
COUNTY OF COUNTY OF
The rgoing instr nt was acknowledged before me The forgoing instru ent was acknowledged before me
this day of 20�by this 1L day of 20,a_ by
(Name of person acknowledge ) (Name of person acknowledging )
U c_6 ('U 010f —
(Signature of Notary kI rida) (Signature of Not Public State o Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (ICES DONZA Commission No. (FWES DONZA
MY COMMISSION # HH 111471 .; :.; MY CbOMMI SION # HH 111471
EXPIRES: July 27, 2025
EXPIRES: Jul 27
Tffr—urs
mars Thru Notoy Public Underwrte
Revised 07/ 15/201
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