HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
ILUO �
0
V ' Building Permit Application
Planning and Development Services
Building and Code Regulation Di vision Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: ZAROS RESDIDENCE
PROPOSED IMPROVEMENT LOCATION:
Address: 1916 LYNX DR
1425-620-0026-000-0
Property Tax ID #: Lot No. 33
Site Plan Name: ZAROS RESIDENCE Block No.
Project Name: RIVERPOINTE AT THE SANDS PHASE II
DETAILED DESCRIPTION
OF WORK:
3/2.5/2 SINGLE FAMILY HOME
(PB 43-16)
New Electrical Meter YES Second Electrical Meter NO (Affidavit required)
CONSTRUCTION INFORMATION:
Additional workto be performed under this permit— check all that apply:
X Mechanical _Gas Tank _Gas Piping _Shutters
X Electric X Plumbing _Sprinklers _Generator
X Windows/Doors _ Pond
X Roof Pitch
Total Sq. Ft of Construction: 3272 Sq. Ft. of First Floor: 3272
X
Cost of Construction: $ 542,736 Utilities: Sewer Septic
OWNER/LESSEE:
Name DONALD & I<ATHERINE ZAROS
Address: 1401 COOLIDGE ST
City: HOLLYWOOD State: FL
Zip Code: 33020 Fax:
Phone No. E-
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Building
Height: 6/12
Name: MARK MONTALTO
Company: PORT ST LUCIE PROPERTIES
Address: 201 SW PSL BLVD
City: PSL State: FL
Zip Code: 34984 Fax:
Phone No 772-336-0050
E-Mail PSLPROPI@GMAIL.COM
State or County License CBC1263072
If value
X Windows/Doors _ Pond
X Roof Pitch
Total Sq. Ft of Construction: 3272 Sq. Ft. of First Floor: 3272
X
Cost of Construction: $ 542,736 Utilities: Sewer Septic
OWNER/LESSEE:
Name DONALD & I<ATHERINE ZAROS
Address: 1401 COOLIDGE ST
City: HOLLYWOOD State: FL
Zip Code: 33020 Fax:
Phone No. E-
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Building
Height: 6/12
Name: MARK MONTALTO
Company: PORT ST LUCIE PROPERTIES
Address: 201 SW PSL BLVD
City: PSL State: FL
Zip Code: 34984 Fax:
Phone No 772-336-0050
E-Mail PSLPROPI@GMAIL.COM
State or County License CBC1263072
If value
CONTRACTOR:
Building
Height: 6/12
Name: MARK MONTALTO
Company: PORT ST LUCIE PROPERTIES
Address: 201 SW PSL BLVD
City: PSL State: FL
Zip Code: 34984 Fax:
Phone No 772-336-0050
E-Mail PSLPROPI@GMAIL.COM
State or County License CBC1263072
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: X Not Applicable
Name: PAUL WELCH JR
Name:
Address: 1984 SW BITMORE
Address:
City: PSI State: FL
City: State:
Zip: 34984 Phone 772-785-9888
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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
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. "youintend to obtain financing, consult
with lend or attorn efore commencingwork or recordingour Notice of Commencement.
Sign re of caner/ ssee/Co tractor as Agent for Owner
STATE OF FLOR DA`1
1
COUNTY OF �i l uCiP_
Sworn to (or affirmed and subscribed before me of Physical Presence or _ Online Notarization
this+� day of �G 2oaL by
IAay lc� ✓ AG ko
Name of person making statement.
Personall Known/ OR Produced Identification
Type den ' ication Produced
(Signature of Notary Public- Sta4 of Florida)
0Commission No.�Oo3tG1(Seal) :eM04g,, SWNONMRIR
My COMMISSION# GG 203869
=a'• EXPIRES: June if,2022
`%•;§��ro"o, BoededThru Notary PtftundwmIafs
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