HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date : Permit Number :
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Building Permit Application
Planning and Development Services X
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone : (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR : JEANA DURDEN
PROPOSED IMPROVEMENT LOCATION :
Address : 5113 SUNSET BLVD, FT PIERCE, FL
Property Tax ID p: 3402-608-0470-000-4 INDIAN RIVER ESTATE UNIT 07 Lot No . 30
Site Plan Name : DURDEN RESIDENCE Block No. 52
Project Name : SINGLE FAMILY RESIDENCE
DETAILED DESCRIPTION OF WORK :
3 . 2. 2 SINGLE FAMILY HOME
New Electrical Meter X Second Electrical Meter (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 X Roof 6/12 Pitch
Total Sq . Ft of Construction : 1842 Sq . Ft. of First Floor: 1842
Cost of Construction : $ 240,000 Utilities : _ Sewer X Septic Building Height :
OWNER/LESSEE : CONTRACTOR :
Name JEANA DURDEN Name: MARK MONTALTO
Address: 4409 PRESSLER LN Company: PORT ST LUCIE PROPERTIES, INC
City: FT PIERCE State : FL Address : 201 SW PORT ST LUCIE BLVD
Zip Code: 34982 Fax: City: PORT ST LUCIE State: FIL
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 PSLPROPI@GMAIL.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 JR Name :
Address : 1984 SW BITMORE Address :
City : PSL State : City: State :
Zip : 34984 Phone 772-785-9888 Zip : Phone :
FEE SIMPLE TITLE HOLDER : _ 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 . If you intend to obtain financing, consult
with lender or n atJorney before commencing work or recording our Notice of Commencement.
Signatur f Ow r/ Less?6/Contra6tor as Agent for Owner
STATE OF FLORID
COUNTY OF L. LLCi L
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this Lk day of 130%Jl 20211 by
Name of person making statement.
Personally Known t OR Produced Identification
TyrrTdentification Produced
(Signature of Notary Public- 0te of Florida)
Commission No. (Seal) , 'ti " ; SHANNONMITMER
WCOMMISNONNGG203868
Al EXPIRES: June 11, 2022
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev 5/20/21