HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
070 dUCU1� R\
V0 " � ° ' 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 : PSL SPEC-7803 FT WALTON
PROPOSED IMPROVEMENT LOCATION :
Address : 7803 FORT WALTON AVE
Property Tax ID #: 1301-606-0100-000-8 LAKEWOOD PARK UNIT 6 Lot No. 18
Site Plan Name : KEY LARGO SPEC Block No. 62
Project Name: SINGLE FAMILY HOME
DETAILED DESCRIPTION OF WORK :
4. 3 . 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 : 2396 Sq . Ft. of First Floor: 2396
Cost of Construction : $ 252,000 Utilities : — Sewer Aseptic Building Height:
OWNER/LESSEE : CONTRACTOR :
Name PORT ST LUCIE PROPERTIES Name: MARK MONTALTO
Address : 201 SW PORT ST LUCIE BLVD Company: PSL PROPERTIES, INC
City: PORT ST LUICE State: FL Address : 201 SW PSL BLVD
Zip Code: 34984 Fax: City: PSL State: FL
Phone No. 772-336-0050 E- Zip Code: 34984 Fax:
Mail : pslpropl@gmail.com Phone No 772-336-0050
Fill in fee simple Title Holder on next page (if different E-Mail PSLPROP1@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 Name : _
Address : 1984 SW BITMORE ST Address :
City : PORTSTLUCIE State : FL City: State :
Zip : 34984 Phone 772-785-9888 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 County and posted on the 'obsite before the first inspection . If you intend to obtain financing, consult
with lender Qr6n ornev b re commencing work or recording our Notice of Commencement.
Signatur of Owner/ Less /Contr ctor as Agent for Owner
STATE OF FLORIDA ST LUCIE
COUNTY OF
Sworn to (or affirm@d) and subscribed before me of _ Physical Presence or _ Online Notarization
this2Sday of >5N y . 20 41 by
Bala&
Name of person making statement.
*Pernaly Known OR Produced Identification
dentification Produced
Ag
re of Notary Public- State of lorida)
'.hr„ 8WINONMITTLER
Commission No. (Seal) _ MYCOMMI1 110 GG203869
EXPIRES:June11, 2022
Bonded Tku NotW Public Undenxuere
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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