HomeMy WebLinkAboutBUILDING PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
IL
COUNTY
x L r P- i r.
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 Construction Of Single family home
PROPOSED IMPROVEMENT LOCATION:
Address: IUby Nettles Blvd.
Property Tax ID #: 4502-501-1256-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
2 bed 2 bath 2 story All Impact single family residence
f CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
io
' Mechanical _ Gas Tank _ Gas Piping _ Shutters
/Electric / Plumbing Sprinklers Generator
Total Sq. Ft of Constructioon::�1672
Cost of Construction: $ U (,VS�09' c7�
Sq. Ft. of First Floor: 884
Lot No. 1069
Block No.
,""'W indows/Doors
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Robert & Angelica Lower
Name: James Newman
Address: 1011 Croton Dr.
Company: JWN Builders, LLC
City: Alexandria State: _
Zip Code: 22308 Fax:
Phone No. %
Address: 1 701 SE Carvalho St.
City: Port St. Lucie State: EL
Zip Code: 34983 Fax: 772-871-9500
Phone No 772-871-9500
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail twnconstructiongcomcast.net
State or County License CRC1328282
F1 uanue or cvnsirucuon is :>c5uu or more, a KtLUKLXD Notice of commencement is required.
If value of HVAC 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: QEA
Name:
Address: 6415 Lake worth Rd Suite 105
Address:
City: Greenacres State: FL
City: State:
Zip: 33463 Phone 561-202-6994
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: _Nat 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
(� Z�i�
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/ 'c nse Holder
STATE OF FLOWA ,
STATE OF FLORID
COUNTY OF : \ : - Q, ��
COUNTY OF F
The forgoing instrument was acknowledged before me
this i` day ofLD'C� 2 by
The forgoing instr.. ent was acknowledged before me
this day of 20 by
Name of person making statement.
Name of person makin�atement.
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Commission No. � 1 1111111%0N
Commission No. (Seal) <<<f111gf1111���
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Rev. 7
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