HomeMy WebLinkAboutBuilding Permit Application, original i
All APPLIcABLE1NF.O MUST BE.COMPLETED'TOR:APPUCATION TO BE.ACCEPTED. ii 11 i
Date:..
Permit Number:
�` LL a,Cc E.L .
Building Permit Application
Planning.and Developr»ent.Servi.ees
Building and Code Regu/ation''Oivlsion Commercial Residential X
23.00 Virginia Avenue,Fart Pierce FL 34982
Phone:(772)462-1559 Fax a7721,462 1578 CBDG Funding ;
PERMIT APPLICATION'FOR::
,PROPOSED t'P,ROVEMENT.LOCATION
Address:.521.6 Sunset.Blvd.,,R..Pierce,FL 34982
Property Tax'ID#: 3402-608=0499-000-3 Lot No_13,14
Site Plan Name:. Block No _53' .. ...
Project Name: . Grasso Residence
DETAILED QESCRIPT-1p, OF WORK:
Construction'of new single family residence
_New.:Electrical'Mpter. x Second Electrical'Meter (Affidavit required)
CONSTRUCTIONYINFQRMATION 3 3
, x
Additional work to be performed under this permit—check all that apply::
_x Mechanical _.Gas Tank —Gas Piping _Shutters itWindows/Doors- Pond_
_x: Electric x Plumbing "Sprinklers _Generator x Roof Pitch
Total Sq.Ft of Construction:, 3844 _ So.Ft.of First 384.4
Cost of Construction:-$._14'6,072.00 Utilities:: _Sewer x_Septic Building Height:
C}1�VN'ERjI�ESSEE CONTRACTOR .
�..
Name_Nicholas&Laura Grasso_ Name:_Ryan"Davis
Address:25,62 SE Marseill'e'Stredt. Company:_Synergy Homes-LLC
City:Port St..Lucie_ State:FL Address: 39,70 RCA Blvd.,Suite 7006
Zip.Code:34953 Fax: City._Palm Beach Gardens State:_EL Zip Code:
Phone No. 772-497-4053. 33410 Fax:
�. E Mail ngrasso29@gmail,com Phone-No 561 315-3317
j Fill.in fee simple Title Holder:on next page(if different E-Mail:ryas @synergyliomesfl.com
.from the.Owner listed ab6V6) State or Co:nnty Ucerise_CBC 254289
If value:of construction is 2500:or-more,a RECORDED Notice of Commencement is required.
If value.of HAVC is$Z,560 or:more,a RECORpEQ Notice of Commencement.is required.
i
$UPPLEMENTALCONSTRUCTION LIEN.LAW'INFORMATIOW
DESIGNER/ENGINEER' _NO.Applimpble, MORTGAGE COMPANY: Not Applicable
Name Lillian.Gonzalez _- Name.: Seacoast Nattorial B;aak
Address _1824 Richard lAne Address _.,9fi1 SU$Hwy 1,Fort Piercq.,FL 3,, 2
City:. Pa1ni Springs � State:_FL_ Phone.
Zip:_33406 Phone_561-294-6929
FEE.SIMPLE:TITLE:HOLDER x Not Applicable: BONDING"COMPANY:: _g Not Applicable,
Name• Name:
Address: Address:
city: -
ip: Phones Zip; Phone:
OWNER/CONTRACTOR AFFIDVIT:.Application is hereby,made to obtain a.permitto do the work.and installation as indicated.
ceeft'.that no wo*:Or installation has commenced prior to the°issuance of a.permit.
St Lucie:County:makes no rep resentatiim that is Granting a permit will authorke the permit holderto build-the subj4d structure
which:conflicts with any" applicable Homeowners Associatton:rules,bylaws or.and:covenafits that may restrict or prohibit�such
structure:.Please:consuTt.wrth<your Homeowners Association,and review your deed for any restrictions which may�apply.
In consideration ofthe granting of this requested;permit,f do:herebyagree1hat I will,in allrespects,perform the work
in accordance with the approved plans,:the Florlda BuildingFCodes.and St.Lucie:County,Amendments.
The;following building,permit applications are:exempt from u.ndergoing:a"fuQ concurcency eeview;.room additions,
accesso y�structures;swimming poois,:fences.walls,signs,screen-roomvand:accessory:uses to another non-residential;use:
WARNING TO`OWNER Your rfailure to Record at Notice of Commencement may resulti In paying twice for
improvements to your property A Notic6bf Commencement must be:recorded in:the publ c.records of St:
Lucie County a1.nd posted on the lobsite before the first inspection.If you intend to.obtain financing,;consult
with lender or an attorne before commencen ;work or-recording our Notice:of Commencement:
Signa re,of,.Owner/•.Lessee/Contractor as AgentforOwner:
STATE CW FLORIDA
COUNTY OF - C.-Al
Swo ` (oraffirmed-and subscribed before me-of ph sisal Presence er ... ..Online Notarization
this 6K day,of W y i Zt? by
Nam4of person makingstatement.
Personally Known, OR duced Identification
of lderttificat io :Produ a ``��\�\lllillillfll///�` `��'1`�t1�.,� •• V'viol
_LYNNA
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(Signature`of N ry.Pu is-State of Florida}; %$ * ••
Comm�ssionNo.;
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REVIEWS FRONT' ZONING. SU,P..ERVISOR PLANS VEGETATION SEA,TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED .
DATE; -.
COMPLETED
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