Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Permit Number: Building Permit Application Commercial Residential X PERMIT TYPE: New Single Family Residence 'a Address: 1621 Timberlake Drive, Fort Pierce, FL 34947 Property Tax ID #: 2302-601-0010-000-1 Site Plan Name: Timberlake Drive Project Name: Beckling New Single Family Detached Dwelling Lot N0.6 Block No. Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: 4,390 Cost of Construction: $ 361,900.00 Name Erick Beckling Address:82 Vincent PLace Sq. Ft. of First Floor: 3,432 Utilities: —Sewer _Septic Building Height: 22' City: Lynbrook, NY State: _ Zip Code: 11563 Fax: N/A Phone No. (516) 532-9208 E-Mail: ottoman8255@yahoo.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Kimberly Bunner Company: RJM Custom Homes Address:6917 Vista Parkway N #1 City: West Palm Beach Zip Code: 33411 Fax: Phone No561 267-7476 E-Mail michael@rjmcustomhomes.com State or County License CBC1 256527 it value of construction is 52500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. State: FL MM ORTGAGE COMPANY: ✓ Not Applicable DESIGNER/ENGINEER: _ Not ApplicableTNN N a m e: RICK BOYETTE a m e Address:4031 COCONUT BLVD Address: City: ROYAL PALM BEACH State: FL City: State: Zip: 33711 Phone561-790.5766 Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: ✓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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR L NDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT E OF COMMENCEMENT." Signature of Own essee/Contractor as Agent for Owner Signature of Con a for/License Holder STATE OF FLORID STATE OF FLORI A COUNTY OF PALM BEACH COUNTY OF PALM BEACH The forgoing instrumen was a knowledged before me this _L( day of d Ngg, 2021 by The f� rr-going instru e`n't wa acknowledged before me this day 2� of �'r7{£wI�VZ , 20_?l by k%1M ine & \\\I\Illnlrrear�,. & M ()j A✓1� VL Name of person making statement. �a�� �Pqs P.•�WMISS1 `• �� Name of person making state \Intl llllll/ 1yo�Ilz era Personally Known OR Produces denfi*a0}&n ` C� �a Type Identifica ; '`;•; , �� �X�X MARIA rsonall Known y --��M j S.��cation of ion ype of identI Ic tion co oN O Produced = o ;®••r . P�duce �y SvNE2g2oo ��A r�A•": ��d�d th;v o a n�nsuran�e •��p t~ a zo � � � _ m . H000, >oi C, o© ( ignature Notary Public- State of Florid aTyd/j;,�dIA�`t3`14\\�Z� (Signat a of Notar P*.•• Commission No. (Seal) e off• \\a�'` Commission No. /�j�p 7ATEOF�eal) 11116111 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.