HomeMy WebLinkAbout Building Permit Application AIL APPUCABLE',INFO MUST"BE COM 44
OR P,ICATION TO BE-,ACCEPTED {
Y /Date:. 1�°�C) Permit Number:,
0�o LUC_�(�
. ..: Building Permit.Application
Planning:and.Development Seivices
BuildingandCodeRegulationDivision COI•t'lmerdia , Re.sid'entia1-;X -
2300 Virginia Avenue,Fort Piece FL 34982,
Rhone;.(772)46271553 Fax:(772)4624578 70DG-Funding
Pt MIT APPLICATION'FOR:
n
FRORO II�f PRQVEM NT L4CAT[C7N
'..., ,�uF, a ,
Address:: .7401.KENWOOD RD_.
Property Tax ID#: 1302-8T0=0086-000=3
LAKEWOOD PARK ADDITION 1` Lot No,.
Site Plan'Name': HEATH RESIDENCE Block No .,D
Project Name:_ Custom 1Ninsor:3
'32.2:SIN:GLE_FAIVIILIY'�NOME.. _.
New.Electrical Meter _. YES Second Electrical Meter No `(Affidavit required)
CONSTRUCTION )tU�QRMAT[ON s F
Additional work 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-rronstr-action: 2564 _ Sq. Ft.of First Floor, ._.._2"5.6.4_. _-
r 291,900
C.bst of Gonstruetion $. Utilities Sewer ,. Septic ',Bu ilding_Helght. x.
;
i
t CONTRACT(7R
a Ess�EE
Name : CHRISTY HEATH.. -" • Name.;_ MARK,MONTALTO.
'Address:. .2397„SW CABALLERO.,,ST Company PSLPROPERTIES
City ,F:ORT ST,LUCIE State:F Address 201_SW'"PSL BLVD
Zip_Code:- 34053 � Fa City- PSI t E
S ate:,FL
Pho.ne'No 772418=.1477:;
.... _. E- Zip'Code 34984... .... Fax: .._
Mail:._ Phone No 772 336 0050,
Fill in.fee simpleTitle:Holder on nextpage(if different .E-Ma,lP psiprop1(c0riiaiLCOm: ft
from the Owner listed'above) State or County:License C13C1263072
If value of eonsYruction is2500 or more,,a RECORDED Notice_of Commercement is;required:,
If value of HAVC is$7500 or more,a RECORDED Notice of Commencement is required.
I
SUPPLEMENTAL"CONSTRUCTIbN LIEN LAUU INFORMATION
DESIGNER/ENGINEER:, —Not Applicable MQ.RTGAGE,COMPANY:' X Not Applical e
Narri:ei. PAULWELCH.INC Name;.
Address •1sa4:>sw,alrMOaE sT. Aooress:.
City;PSL id,y^ State::. F
Zip 3asaa Pf one77?2=?85-saeij zip: . Phone:
I
i
FEE SIMPLE.TITLE HOLDER; X: Not'Appltcabl"e BONDINOCOMPANY: X No't.ApplicablO
Name: Name:
Address: Address: : "
City: City:
Zip: Phone Zip: . Phone:
f
OWNER/CONTRACTOR•AFFIDVIT:Application is;. y"ma herebde.to.obtairta:p: ermit: o da-the,work and"inst on allatias indicated;,
ei
i'certify,#hat no:woek or installation liar commenced prior`:to the issuar!ce:of a permit:
St Lucie County:makes no representatido that is. ranting a permit wili-authorize.thespermit hoiderto build:the subject"structure.
which..conflicts with any applicabl"e Homeowners•Association.rules;bylaws:or and'covenants that may restrict or,prohlbit such
structure.Please consu twith.your Homeowners:Association,snd r-eview'your deed'for any restnctio"ns which may apply;
In;consideration-of the granting of;this requested permit,;;)do.hereby-""agree,that I will,in'all respects;perforin the;woek
in accordance-with the;approved plans,.the Florida Build►.ng.Codes:and`St.Lucie.County Amendments.
The following building permit applications.are exempt-from-undergoing a fulkconcurrency review:room:additions,.
accessory structures,swirrtrriing'pools,fences,,walls;signs,screen rooms and;accessor- uses to another non=reside"nf al use
WARN I NGTQ.OWN ER:Your failure;to Record'a Notice of Comrrrencerrient may"result"in.paying,twice for
improvements to your property.,A Notice.of Corri men cement-mitst be P recorded:in-the. ublic"_records of St.
, n ,
Lucie Countd. osted',on a jobsite before-Ahe first inspection.: f you intend to,obtain financing:consult
With lend or attorne%'efore commencingwork or recordin our Notice of'.(ommencement..
Sigma re of "weer/L.e ,ee/Contractor as Agent.for Owner.
STATE OF FLORIQA
COUNTY OF
Sworn to(or'affirmed)and subscribed before me cif Physical Peesence�:or_ Online:Notari ation
this--)l day off" r20_1i by
CA
Name of person'making statement.
. F
Personally Known OR Produced Identification- l
TypEbf Identification,Pro uced a.
ure,of Notary Pub ic-State of Florida.}
Commission No. (Seal) L►�s►u BNANNON,MI7'tLER"
CUMMissioN#GG goo
�• �� EXPIRES:Jun 11,2022
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TfWu NofarY Fl lkkd6tWl f'G �
REVIEWS 'FRONT ZONING SUPERVISOR PLANS, VEGETATION; SEA TURTLE MANGROVE
COUNTER REVIEW" 'REVIEW REVIEW" REVIEW REVIEW REVIEW
DATE
RECEIVED:
DATE
COMPLETED'
Rev 1. _