HomeMy WebLinkAboutBuilding Permit Application . l
All APPLICABLE]NFO NiUST,BE'COMPLETED FOR.APPLICATION TO BE ACCEPTED
Date.;_'I Permit:N'umbef:,
RuJ ding Peem It.ApplicAtion
Planning and Development'.Sgrvices
Building and Code l egulat►dn Div/sian I Commercial. Residential. .X
2300 Vitg/nta Avenue,fort PWce R;34982
Rhone},(77,2)-462-1553 Fax.(772);462-1578
PERM(T APP'LI,CATIO N F�ft: AGR Homes LLC
RROPOSED WPRP�VEMENVLOGAT10",; Indian River Estate ;
Addressi- 5702 Hickory Dr.
Property Tax IQ-#, 3402 60.9-0442'-000-2 Lot No. 4
Site Pla,p.:Named. Drew.spec Block`No
64.
Project:N;atne: ACP`Homes LLC
i
DETAIL{=D DESCRI':PTION QF'WQRIC
43,$1 Single family-home
NOW Ell ct"ricai Mefier Yes' Secand:Electrical,Meter no
G'ONM,UCTION INFORMATION
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:Additi nal work'to be erformed under this ermft—check.ali that a f
Mechanical;. . p.. Gas Tank . . . ..p .. _� _ . � pp Y:X
—.I --
_Gas Pip Shutters X, Windows/Doors.. ^Pond
x Electric
", X Plumbing-! ^Sprmlklers _Generator x ,Roof 6/12` P,iteh
Total Sq, Ft of'Construction, 2797 _ trt st loon 2797
t ., cam_^ .S
Gos$`o Eo ,struct�on '$:. 281,90D 1 utilities = SeWer x Septi;, BuIldmg Height:;
QWN ERjLES.SEE CONTRACTORS
Name AG Homes LLC Name; Mark Montalto
Addriess:-4196 Merchant PLZ#607 company: PSL Properties Inc.
City:1-Woodbridge State 'VO'. Address: 201.'$WV. Psl'.Blvd..
Zip Code 22192. Fax NIA City: PSL State,
Phone.No 5:7.1-48"1:-0777 Zip:Code 34984"_ Fax N/A
E-Mail: N/A Phorte,.No .772=33,6.-Op50
Flll in fee simple Title Holder on next page(if different E-Matl PSIProp1 @gmail com
from the owner listed:.above). State or County license CBC1.263072.
.If value ofcanstruc 0r.mr# n_ neQ ,Notics.of.Commencement is;requrec
If value of',HAVC'is$7,500 or.rnore,a.REGORDED;:Notice:of Commencem,enf is required.
SU!?'PLE(Vi NTAL CONSTRUCTION LIEN LAW INFORMATiQN;
. ,
DESIGNER/ENGINEER.":. Nof.Applicable (V(ORTGAGE COMPAtVY" X..Nat.Applcable
Name: Paul Welch Inc: Name.:
Addres , i„more "_t• Address;
City: State: FI: City; State;;
zi.o.;:3498 Phone_ 772-78'5-9888 Zip.._ _ Phone;
FEE SIMPLE TITLE HC)1:DER;: X Not.Appficable B`ONDING_COMPANYc X Not Applicabi.e<
Name:: Name;
Address: Address:
C[ty: I City
Zip:. Pho" _ Zip: Phone:
OWNER/CONTRACT''R AFFIDVIT Application_ is hereby`rhade tolobtain a permit o do,the work.aM Installation as.indicated.
I"certifythat no work�or installation has cori'mended prior to:the issuance>'of a permit:;
St..Lucie County takes narepresentadon that"ls granting:a permit willyauthoriae the permit holder to build the subject-structure•
which is ln.coriflict with a y'agplicabl:p.Home Owners.Assoddtion rules,-bylaws or.and coVenantssftt may restrict or prohibit"such
structure Please:consultwith your`Home Owners Associat[oh,and reViewyour deed..for any,restrictions which may?pp
Inconsideration of.'the granting of-this..requested.permit, l do hereby.-agree-that I will,in all respects,perform the work:
in accordance with the approved plans,.the.Florida 8uildirigCades and St Lucie County Amendinents.
Thefoilowing bu iding-permit'appiications are'exen pt from undergoing a;fuli concurrency review:.room additions,
accessory structuresswlmn ing pools;fences,walls,signs,screen rooms and;'accessory uses-to;another non-residential use..
WARNING TO OWNER:�Your fa Ilure,.to.Record a Notice of Commencement may result in paying twice for
lrnproveirientsAo your property. A,Notice o ( omrhencement rhust"be recorded tithe public records of'St.
Lucie Coun.ty.a'nd'posted-on: , e:jobsite befarethe first�inspection, if ou-Intend obt" in financing; consult
with lende r.a ttor'e efor commencin work or recordin`=v ur Ice:of,C me erimerit:
Signatu ofbikner/L see%Co ractor,as Agent for Owner 'Sfi n r6W'Contracto . icense Hoid;ee
STATE OF=FLORIDA STATE OF FLORIDA
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COl1'NTY OFCOUNTY'OF_ S-V- - 1- K) e
Sworn to(or affirmed)andesubscribed,before me of sworn to(or affirmedf:and.sub"scnbed'before'me~of`
Physical Presence or _ O"thine Notarization X� Physical.Presence or Online Notarizat►on
this": day of, &,8c_; ,�202q by thisldayof -A6G. J.2021 by
T
Name of person making-statement Name of person making statement.
Personally Known ,OR Produced identification Personally"Known- :X OR"Produced Identification..
Type:ofldentification Type ofidentificatton .
Produced" - } , ..Produced'
Y
(Sig a ure of Notary Pubi - (Sign 't 're of Notary P . 4 dR lbw1d0o}�ven
?.paY Notary Public State of Florida MY Gommiss�on GG 298212
R6 L Owen- Exp as o I N a
Commission..No., C� rt K. MY sionGczea2�2 Commission No e
or Expires:02104r2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW -REVIEW REVIEW REVIEW, REVIEW, Ri,YIEW<
DATE
RECEIVED..
DATE:
COMPLETED
Rev.