HomeMy WebLinkAboutBuilding Permit App-info updatedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 5210 Sunset Blvd., Ft. Pierce, FL 34982
Property Tax ID #: _3402-608-0499-000-3
Site Plan Name:
Project Name: Grasso Residence
DETAILED DESCRIPTION OF WORK:
Construction of new single family residence
Lot No. 13, 14
Block No. _53
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 Pitch
Total Sq. Ft of Construction: 3844 Sq. Ft. of First Floor: 3844
Cost of Construction: $ _146,072.00 Utilities: —Sewer _x_ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name —Nicholas & Laura Grasso
Name: _Ryan Davis
Address: 2562 SE Marseille Street
Company: _Synergy Homes LLC
City: Port St. Lucie State: FL_
Address: _3970 RCA Blvd., Suite 7006
Zip Code: 34953 Fax:
City: _Palm Beach Gardens State: _FL_ Zip Code:
Phone No. 772-497-4053
33410 Fax:
E-Mail:_ngrasso29@gmail.com
Phone No_561-315-3317
Fill in fee simple Title Holder on next page (if different
E-Mail: ryan@synergyhomesfl.com
from the Owner listed above)
State or County License_CBC1254289
IIif value of construction is 2500 or more, a RECORDED Notice of Commencement is required. II
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: _ Not Applicable
Name: _Lillian Gonzalez
Name: _Seacoast National Bank
Address: _1824 Richard Lane
Address: _1901 S US Hwy 1, Fort Pierce, FL 34982
City: _Palm Springs State: _FL_
Phone:
Zip: _33406 Phone_561-294-6929
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 jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencine work or recordine vour Notice of Commencement.
Signalffire of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA P�
COUNTY OF
Swor (or affirmed and subscribed before me of Physical Presence or Online Notarization
this C4& day of NV V 20.LL by
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Nam of person making statement.
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGElll TATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
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DATE
COMPLETED
Rev 5/ZU/21