HomeMy WebLinkAboutBuilding Permit Applicationb�\
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: S Permit Number:
1;EOMM
_ - JUL 0 9 2021
Building Permit Application
ty
Planning and Development Services 3t PermittingLucie
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT TYPE: Residence
PROPOSED IMPROGEIVIENT. LO,CATION
Address: 4566 N Hwy A1A Ft Pierce, Ft Pierce, A
Property Tax ID #: 1414-703-0001-000-9
Site Plan Name: Ocean View Estates
Project Name: Buza Family
DETAILED DESCRIPTION OF WORK
2 Story Single Family Dwelling L(-9PI4(-06M 6 ht.lht (',tq( -P.0, r,no,r;
CONSTRUCTION INFORMATION
Lot No.1
Block No.
Additional work to be performed under this permit —check all that apply:
✓ Mechanical _ Gas Tank _ Gas Piping /"Shutters " _ Windows/Doors
7 Electric ✓Plumbing _ Sprinklers _ Generator _ Roof 612 Pitch
Total Sq. Ft of Construction: Family Residence Sq. Ft. of First Floor: 4000B
Cost of Construction: $ 1,000,000 Utilities: —Sewer —Septic Building Height: 30 ft
Name Buza Family Holdings Inc.
Name: Michael Schlitt
Address: 847 20th Place
Company: Michael Schlitt Construction Corp
City: Vero Beach State: _
Address: 1708 Old Dixie Hwy # 101
Zip Code: 32960 Fax:
City: Vero Beach State: FI
Phone No.
Zip Code: 32960 Fax:
E-Mail:
Phone No 772-473-0962
Fill in fee simple Title Holder on next page (if different
E-Mail mschcon@yahoo.com
from the Owner listed above)
State or County License 1 Lp 1 (p q
it value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPrPLEMENTAL`CONSTRUCTION LIEN -LAW INFORMATION':
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name: Bellefrau Group LLC
Address: Address: 13 Royal Palm Pointe
City: State: City: Vero Beach State: FL
Zip: Phone Zip:32sso Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone;
Not Applicable
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 RFFORF RF[nonimr. Yn1iR NnTILF nF rnmmFNCFMFNT_"
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of ontractor/License Holder
STATE OF FLORIDA i r p t `��
COUNTY OF 1u� T�
STATE OF FLOMM l �l
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COUNTY OF did t a� ��.
The forgoing instrument was acknowledged before me
this day 42 -` . 20 ZI by
The forgoing instrument was acknowledged before me
this g day of 20 N by
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Name of person making statement.
Name of person making statement.
Personally Known 'I OR Produced Identification
Personally Known � OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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DATE
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