HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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: 5302 SEAGRAPE DR SPEC
PROPOSED IMPROVEMENT LOCATION:
Address: 5302 SEAGRAPE DR, FT PIERCE, FL 34982
Property Tax ID N: 3402-608-0274-000-0 IRE UNIT 7 Lot No. 18
Site Plan Name: PSL SPEC 5302 SEAGRAPE Block No, 48
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 X Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name PORT ST LUCIE PROPERTIES, INC
Name: MARK MONTALTO
Address: 201 SW PORT ST LUCIE BLVD
Company: PSL PROPERTIES, INC
City: PSL 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 PSLPROPI@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
Name: PAUL WELCH
Address: 1984 SW BITMORE ST
City: PORT ST LUCIE State: FL
Zip: 34984 Phone 772-785-9888
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
x Not Applicable
MORTGAGECOMPANY: X Not Applicable
Name:
Address:
City: State:
Phone:
BONDING COMPANY: X Not Applicable
Name: _
Address:
city:
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 Ipnrlpr odanattnrnP%XPfnrp cnmmenring work nr recording vour Notice of Commencement.
Signatur, of 0 ner/ Lest' e/Contractor as Agent
for Owner
STATE OF FLORIDA
COUNTY OF ST LUCIE
Swor o (oraffirme ) arld subscribed bef ye
�/
of /�
Physical Presence or _Online Notarization
this dayof b
'^ nDU \ —20'1
Vr Yam` YU (DYE iL�.`—�J
Name of person making statement.
Personally Known —L. OR Produced Identification
Typ Identification Produced
n �)' V i
(Signature of Notary Public- State ofFlorida)
�'•
SHANNON MITfLER
Commission No. (Seal)
MYCOMMISSIONNGG203869
El%1
EXPIRES: June 11, 2022
Bonded ihru Notuy Public lhi r9ders
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