HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: 6000 CASSIA DR SPEC
PROPOSED IMPROVEMENT LOCATION:
Address: 6000 CASSIA DR, FT PIERCE, FL 34982
Property Tax ID #: 3402-610-0466-000-0 IRE UNIT 9 Lot No._6
Site Plan Name: PSL SPEC 6000 CASSIA DR Block No. _86
Project Name: SINGLE FAMILY HOME
DETAILED DESCRIPTION OF WORK:
4.3.2 SINGLE FAMILY HOME
New Electrical Meter YES Second Electrical Meter NO (Affidavit required)
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 _Generator XRoof 6/12 Pitch
Total Sq. Ft of Construction: 2396 Sq. Ft. of First Floor: 2396
Cost of Construction: $ 252,000 Utilities: —Sewer X Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name PORTST LUCIE PROPERTIES, INC
Name: MARK MONTALTO
Address: 201 SW PLS BLVD
Company: PSL PROPERTIES
City: PSL State: FL
Address: 201 SW PSL BLVD
Zip Code: 34984 Fax:
City: PRI State: FL
Phone No. 772-336-0050 E-
Zip Code: 34984 Fax:
Mail:
Phone No 772-336-0050
Fill in fee simple Title Holder on next page (if different
E-Mail pslpropl pgmail.com _
from the Owner listed above)
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 INC
Name:
Address: 1984 SW BITMORE ST
_
Address:
City: PSL State: FL
City: State:
Zip: 34984 Phone772-785-9888
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 Countyand posted on th j0bsite before the first inspection. If you intend to obtain financing, consult
with lende r a tome ore commencin work or recording our Notice of Commencement.
Signat re of wner/ Le ee/Con ractor as Agent for Owner
STATE OF FLORID,
'S4
COUNTY OF ��
Sworn to (or affirmSd) and subscribed before me of Physical Presence or _ Online Notarization
this In day of ny 20Z by
Name of person making statement.
Persona ly Known OR Produced Identification
Ty o dentificat on Produced
(Signature of Notary Public- State of Florida)
Commission No. (Seal) :0111�10t11%061'; SWWNONMITILER
MY COMMISSION # OG 203869
".goF' EXPIRES: June 11, 2022
Bonded Thm Notary public II�NerMt�
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