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Date:
Permit Number:
It
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: TAMEZ RESIDENCE
PROPOSED IMPROVEMENT LOCATdON:
Address: 51Q51MYRTLE DRIVE
Property Tax ID #: 3402-608-0282-000-9 RE Lot No. 26
Site Plan Name: 515�MYRTLE DR Block No. 48
Project Name: SINGLE FAMILY DWELLING
DETAILED DESCRIPTION OF WORK:
3.2.2 SINGLE FAMILY HOME
New Electrical Meter X Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional worl<to be performed under this permit —check all that apply:
XMechanical _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: 2099 Sq. Ft. of First Floor: 2099
Cost of Construction: $ 266,000 Utilities: X Sewer _Septic Building Height:
0 W N ER/LESSEE:
CONTRACTOR:
Name JOELTAMEZ
Name: MARK MONTALTO
Address: 345 E WEATHERBEE RD LOT 5
Company: PORT ST LUCIE PROPERTIES
FL
City: FT PIERCE State:_
Zip Code: 34982 Fax:
Phone No. 772-336-0050 E-
Address: 201 SW PSL BLVD
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax:
Phone No 772-336-0050
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail PSLPROPI@GMAIL,COM
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
MORTGAGE COMPANY: X Not Applicable
Name: PAUL WELCH JR
Name: _
Address: 1984SW BITMORE
Address:
City: PSL State: FL
Zip: 34984 Phone 772-785-9888
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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
I
mprovements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted opothe )obsite before the first inspection. If you intend to obtain financing, consult
with lende r a attor bef re commencin work or rscordin our Notice of Commencement.
Sign re of Owne .essee/Contractor as Agent for Owner
STATE OF FLORID uw l �
COUNTY OF
Swor o (or affirmgd{ and ubscribed before �e of Physical Presence or. Online Notarization
this dayof {V 20 b
Name of person making statement.
P nally Known OR Produced Identification
ype Identification Produced
( Ignature of Notary Public- State of Florida) M: SHANNONMITMER
? MY COMMISSION #00209669
Commission No. (Seal)U. EXPIRES: June Its2022
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