HomeMy WebLinkAboutBuilding Permit Application - 7604 Lakeland Blvd_SIGNEDA11 APPLICABLE FAQFl3 MUST BE COWLETEO FOB APPLICATION TO BE ACCEPTED
Date; 1111012021
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Planning -and DLeVe0p r ent 5ervkes
Perrnr 1 N umber:
Bijilding Permit Application
Building of Code Requdoton DiviSiorl Commercial Residential
2300 Virginoo A v-en Lie, Fort Pierce FL 3498
Phone: (772) 462-1553 Fax: (772) 452-TS713
PERMIT APPLICATION FOR.'Residential Building
PROPOSED IMPROVEMENT LOCATION:
AddreS5: 76D4 Lakeland Bead, Fort Pip,rce FL 34951
Property Tax I D #: 1301- 7-0002-OCC-4 Lot N o ,
Site Plan Name, 76Lakeland Blvd Block No.0
Proje-ct Narne. 7504 Lakeland Blvd _
DETAILED DESCRIPTION OF WORD: j
Construction of new single-family home. One story high building, 3 bedrooms Y2 bathroorn and 2 car garage. with a floor, area
Under A/C of 1,694. Scope of vmrk includes but is not limited to: Land clearing, septic tank, water well, structural shell. MEFs
and fin iehes .
New Ell ectricaI- Mub-_r Yes Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this perrnit — cheek all that apply-
X Mechanical
Electric
_ Gas Tank
Plumbing
Total 54, Ft of Con5truc#ion, 2264
C D5t of Constructs on _- S 135 -000
O N ERAE SE
N.aMe434 21ST. STREET LLG
Ad d re ss: 9111 E Bay Harbor Dr 6F
City= Miami —
Zip Code: 33154 Fax:
P h o n e No_ 9-850-0518
E-Mail: Fledro@Alvestonegroup.cern
Gas Piping ! Shutters X W1 nd oval/D ac rs Pond
_ Sprinklers _ Generator XRoof 4,12 Pitch
Sq. Ft. of First Floor: 2264
utilities; _ Seger Septic Building Height-- 13 f
State: FI.
I Fill I i n fee situ p le Tit le Hol d er on n ext page ( If d ifferen t
from the owner listed above)
CONTRACTOR
N a me: Pedn:� Quijada
Company, Aiva-3toneGramp LL
Address: %1 Evernia St #1603
city- West Palm Beach
Zip Code; 33401
Phone No 954-85 6 1-B
Fax-.
E -Ma il Pedro alvastenegroup.Com
Stat E� or Con my Lice n s e CGC 1529454
If val u e of Cory StrU tiao is 2.500 or mo re, a R ECORD EH N CKIce of Commencement is required
If vaIwe of HAVC is $7,500 or more, a FtECC)RDEB Notice of Commencement is regtjired,
state: Ft i
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: ^ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: 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
is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
which
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, 1 do hereby agree that 4 will, in ali 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 SFTE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOU ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.-
Signa u wner/ Lessee/Contractor as Agent for owner
Signature of Contractor/
ev.
i_ice Holder
STATE OF FLORIDA �l
STATE OF FLOP A
�DThe
COUNTY OF � Y 0 WGl.ir�., --
COUNTY OF
forgoing instrument was acknowledged before me
The forgoing instrument wa acknowledged before me
this � day of ��r� , 20� by
this � day of 28�, by
Qd�.�
Name of person making statement.
Name of person making statement.
Personalty Known � OR Produced Identification
Personally Known / OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
��ypN BE l`r���4,��
peER rp�'�i'•
lSi at o Notary Public- State o Notary Public
(Signature of Notary Public- State of S a }
�tate of Florida
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