HomeMy WebLinkAboutBUILDING PERMIT APP - DYER RD All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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n tk 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
PERMIT APPLICATION FOR:SFR NEW CONSTRUCTION
PROPOSED IMPROVEMENT LOCATION:TBD DYER RD
Address: TBD DYER RD, PORT ST LUCIE FL 34952
Property Tax ID#: 3414-501-1412-100-7 Lot No. 12
Site Plan Name: ST LUCIE GARDENS 25 36 40 BLK 2 S 165FT OF N 330FT OF LOT 12 Block No. 2
Project Name: INGRAM RESIDENCE
DETAILED DESCRIPTION OF WORK:
SFR NEW CONSTRUCTION CBS 4 BEDROOM 3 BATH 2 CAR GARAGE
New Electrical Meter X Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: 3,037 Sq. Ft. of First Floor: 3,037
Cost of Construction: $ 428,908.50 Utilities: —Sewer _Septic Building Height: 19,
OWNER/LESSEE: CONTRACTOR:
Name INGRAM, DAVID&ALICIA Name:ROBERT CENK
Address:201 INDIAN HILLS DR Company: HOMECRETE HOMES INC
City: FT PIERCE State:'L_ Address:2162 NW RESERVE PARK TR
Zip Code: 34982 Fax: City: PORT ST LUCIE State: FL
Phone No. 772-873-6707 Zip Code: 34986 Fax:
E-Mail:MSHOWMAN@HOMECRETEHOMES.COM Phone No 772-873-6707
Fill in fee simple Title Holder on next page( if different E-Mail BCENK@HOMECRETEHOMES.COM
from the Owner listed above) State or County License CGC062378
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: _ Not Applicable
Name:N2 ARCHITECTURE&DESIGN Name:GOLDWATER BANK
Address:2081 SE OCEAN BLVD SUITE 1A Address: 2525 E CAMELBACK RD SUITE 1-201
City: STUART State: FL City: SCOTTSDALE State: Az
Zip: 34998 Phone 772-220.4411 Zip: 85251 Phone:800-281-6446
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucieunty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with e d r an at;orney before commencing work or recording our otce of o mencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORLDA
COUNTY OF LA C .e, COUNTY OF Jfi l U'e-
Swor o(or affirmed)and subscribed before me of S to(or affirmed)and subscribed before me of
P ical Pre nce or Online Notarization Ical Presence or Online Notarization
thi day of 2020 by thij�ay ofc5e Ck p 202t by
Pt,V)k f 0 Cn I - Qc))Oe.- . cl�e k K_
Name of person making statement. Name of person making/statement.
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Personally Known OR Produced Identification Personally Known v OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public- to ture of Notary Public-St
•u� otary Public State of Florida
• Notary Public State of Flo ida `F el' sa D Showman
Commission No. e*lissa D Showman Com fission No. q (�mmission GG 29449
My Commission GG 294 5 Expires 01l24/2023
?a Expires 01/24/2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.