HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Oct 6, 2017 Permit Number:
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RECEEVEL
Building Permit Application NOV 16 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
_Address: unassigned St. Lucie County - Muller Rd. i o's— m w le r- Ko(
Legal Description: ROGERS RANCHETTES (PB 46-24) LOT 2 (2.50 AC) (OR 3978-206 It i `
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Property Tax ID #: 2334-700-0003-000-2 Lot No. 2
Site Plan Name: Hernandez Block No.
Project Name: Hernandez Residence
Setbacks Fro.a�Bac Right Side: Left Si�
'
DETAILED -DESCRIPTION OF'WORK:
Construct new one-story single family residence
LR,5
CONSTRUCTION INFORMATION;
Additional wor to eperformedunder t—checkispermit a appy:
ZHVAC Ir IGasTank VGasPipingShutters aWindows/Doors
ZElectric 0 Plumbing OSprinklers F]Generator Roof
Total Sq. Ft of Construction: 3503 Sq.
of First Floor: 2569
Cost of Construction: $ 312,800.00 Utilities: LJ Sewer W1 Septic Building Height: 26-10"
;OWNER/LESSEE: ,
CONTRACTOR:
Name Dan & Heather Hernandez
Name: John Eriksen
Address: 5356 NW Mims CT
Company: JDL Builders LLC
City: Port St. Lucie State: FL
Address: 1608 So Kanner Hwy
Zip Code: 34986-2780 Fax:
City: Stuart State: FL
Phone No. 772-359-2572
Zip Code: 34994 Fax: 888-628-2862
E-Mail: dan@crystalcleanfl.com
Phone No. 772-260-5049
E-Mail: John@jdlbuilders.com
Fill in fee simple Title Holder on next page (if different
State or County License: CBC1250781
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name: John H Creswell, PE
MORTGAGE COMPANY: _ Not Applicable
Name: Seacoast Bank
Address: 1790 SW Gatlin Blvd #202
Address: 4459 SE Kubin Ave
City: Stuart State: FL
Zip: 34997 Phone: 772-210-6814
City: Port St Lucie State: FL
Zip: 34953 Phone: 772-340-0773
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: Daniel BHeather Hernandez
Address: 646 N5326 NW Mims CT
BONDING COMPANY: X Not Applicable
Name:
Address:
City: Port Saint Lucie
Zip: 34986 Phone: 772-359-2572
City:
Zip: Phone:
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 OW ur failure to Record a Notice of Commencement may result in your paying twice for
improvementFib your p rty. A Notice of Commencement must be recorded and posted on the jobsite
before th spe o . If you intend to obtain financing, consult with lender or an attorney before
com ci w��n
r ordin� your Notice of Commencement.
_ SOnature of Owner/
STATE OF FLO
COUNTY OF
The o n ins
thi day of
(Signature of
Personally Known
Less Agent
A
�t�ascknowledgeyllefore me
20 by
J
dgi
'ublic- State of Florida —
OR Pro duced`klen ificn
Notary Public State of Florii
Susan D Meitner
031
Expires 05/2612018
Revised 07/15/2014
SignatuV6 by Contractor/License Holder
STA E OF LORIDA-n_
COU TY F
The forgoing instrument was acknowledged before me
this 6 -lay of OG ll 20 1-� by
___36N V� zR1kSFJ
(Name of n a ledgi47_~1____\
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Ide�
Notary public State of Florida
N*isan D Meitner (Seal)
Idly Ommission FF 123031
Expired 0612512018
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