HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click here
PROPOSED IMPROVEMENT LOCATION:
Address: 8212 S Ocean Drive Jensen Beach Florida
Legal Description;
Diamond Sands Plat NO 2 (PB 54-40 lot 32
Property Tax ID #: _
Site Plan Name: Maurizio
Project Name: Maurizio
Setbacks Front 20'
3527-501-0033-000-5
Back: 40' Right Side: 7.6 Left Side: 8'
DETAILED DESCRIPTION OF WORK:
New Residence 2 Car Garage / 6 bathrooms 4 bedrooms
Lot No. f= -
Block No.
CONSTRUCTION INFORMATION:
Additional work to be nerformed under this permit — check all that apply:
❑HVAC Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
❑ Electric ❑_ Plumbing Sprinklers F� Generator Roof
Total Sq. Ft of Construction: Eoq l � Scl. Ft. of First Floor: 592
Cost of Construction: $ ` Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Michael Maurizio
Name: Alan Tarpell
Address: 101 Stone Bridge CT
Company: AJT Construction Consulating LLC
City. New hartford State: NY
Zip Code: 13413 Fax:
Phone No. 561-799-5900 Ext 105
Address: 1760 N Jog Road Suite 120
City: West Palm beach State: FL
Zip Code: 33411 Fax:
Phone No. 561-799-5900 Ext 105
E-Mail: Fran@phoenixcompan ies
E-Mail: fran@phoenixcompaniesfl.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CGC-058625
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name: Randallstofft
Address: Swinton Ave
City: Delray Beach Florida
Zip:
Phone:
Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: N/A
Address:
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: N/A
Address:
City:
Zip: Phone:
City: State:
Zip: Phone:
BONDING COMPANY:
Name: N/A
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing worK or recoraing your ivoiice oT lAmmencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of , 20 _by
(Name of person acknowledging)
s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of 20 by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida ) I (Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
(Seal)
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
(Seal)
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