HomeMy WebLinkAboutBuilding Application PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
94o duc�u� a
�o
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
CBDG Funding
PERMIT APPLICATION FOR: PSL PROPERTIES KEY LARGO SPEC
PROPOSED IMPROVEMENT LOCATION:
Address. 6006 SPRUCE DR, FT. PIERCE, FL 34982
Property Tax ID #: 3402-610-0433-000-0
Site Plan Name: PSL PROP 6006 SPRUCE DR
Project Name: SINGLE FAMILY RESIDENCE
DETAILED DESCRIPTION OF WORK:
4.3.2 SINGLE FAMILY HOME
INDIAN RIVER ESTATES UNIT 09
New Electrical Meter X Second Electrical
CONSTRUCTION INFORMATION:
Residential X
(Affidavit required)
Lat No. 9
Block No. 85
X
Additional work to be performed under this permit —check all that apply:
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: 2396 Sq. Ft. of First Floor: 2396
Cost of Construction: $ 252,000 Utilities: _ Sewer X Septic Building Height:
0 W N ER/LESSEE:
CONTRACTOR:
Name PORTST LUCIE PROPERTIES, INC
Name: MARK MONTALTO
Address: 201 SW PORT ST LUCIE BLVD
Company: PORT ST LUCIE PROPERTIES, INC
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax
Phone No. 772-336-0050 E-
Address: 201 SW PORT ST LUCIE BLVD
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax:
Phone No 772-336-0050
Mail: PSLPROPI@GMAIL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
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:
Name: PAUL WELCH JR
_ Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Address: 1984 SW BITMORE
Address:
_
City: PSL
Zip: 34984 Phone 772-785-9888
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
X Not 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 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 oxan aLYbrnev before commencing work or recording your Notice of Commencement.
Signatu of ner/ Les a/Contractor as Agent for Owner
Rev
STATE OF FLOR
COUNTY OF C Lf
Sworn (or affirme ) and subscribed before me of Physical Presence or Online Notarization
this day of ✓120ZI by
Mr,rL 4okkho
Na ier� �f�person making statement.
PeraQnally Known A�6 OR Produced Identification
Identification Produced
T fe IN
I
' N � 1 1 I�
(Signature of Notary Public- State of Florida)
%"N"?""•-'. SHANNON MITTLER
Commission No. (Seal) �''.•1•`' MYCOMMISSIONkQG203869
-'• EXPIRES: June 11, 2022
"'?'?t'•"• Bonded Tin Will PebAaUrdeMrlae
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED