HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INED
�MUST BE COMPLE � FOR APPLICATION TO BE ACCEPTED
Date: i2020 -(' �' Permit Number: r�? ' &V
01T. We
C1
°'`' - Building pp Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED`-1MPROVEIVIENT LOCAT'IO.N
Address: 6607 DELAND AVE, FORT PIERCE, FLORIDA 33951
Property Tax ID #: 1301-612-0336-000-0
Site Plan Name: JOMILTON JOVANY RESIDENCE
Proiect Name: JOMILTON JOVANY RESIDENCE
DETALLED+`DESCR)PTIO.N OF 1NORK
CONSTRUCTION OF NEW SINGLE FAMILY RESIDENTIAL PROPERTY.
t"�
Lot No.
Block No.
New Electrical Meter Second Electrical Meter
CONSTRUCI"(ON INFk' ATION,
Additional work to be performed under this permit— check all that apply:
X Mechanical _ Gas Tank. _ Gas Piping _ Shutters X Windows/Doors _ Pond
X Electric X Plumbing �7_ Sprinklers _ Generator X Roof Pitch
Total So. Ft of Construction: Sq. Ft. of First Floor: _2,258
Cost of Construction: $ $1651360.00 Utilities: X Sewer —Septic
Building Height: 19'-111,
01NN ER/LESSEE:
CONTRACTOR:
Name JOMILTLN JOVANY LOZAANDRADE
Name: JAVIER LOPEZ
Company:_AGIO CONSTRUCTION SERVICES, LLC
Address: 4194 HAPPINESS ST,
City: WEST PALM BEACH State: FL
Address: 244 DAVIS RD.
City: PALM SPRINGS State: FL
Zip Code: 33406 Fax:
Phone No.
Zip Code: 33461 Fax:
E-Mail:
Phone No 305-962-2736
Fill in fee simple Title Holder on
E-Mail AGIOCONSTRUCTION@GMAIL.COM
or County License CGC 1518702
=rent
from the Owner listed above)State
If value of construction is 2500 or more, otice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
"SUPPLEME'NTAL CONSTRUCTLON LIEN.LAW INF'ORMATIO.N
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: FERNANDO PRIETO Name:
Address: 2328 10th, AVE NORTH, SUITE 200 Address:
City: LAKE WORTH State: FL State:
Zip: Phone_561-855-2688 I Zlp: 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspe on. If you intend to obtain financing, consult
with lender or an attornev before commencing work or rec,6rdU your Notice of Commencement.
JOMILTON JOVANY LOZA
JAVIER LOPEZ
Signature of Owner/ L
ee/Contractor as Agent for Owner
Sig ure ont or/License Holder
STATE OF FLORIDA
STAT F L IDA
COUNTY OF
COUNTY
Sworn to (or affirmed) and subscribed before me of.
Sworn to (or affirmed) and subscribed before me of
ce
or Online Notarization
Ph sical Presence or . Online Notarization
this
) 2020 by
this � day of S 2020 by
Obi T
(/
Name of person makin
tement.
Name of perso akin ement.
own
OR Produced Identification
OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
f
(Signature of No
(Signature of Notary Public- State of Florida )
►�°" ADAN.ALFONSO
: z: My
Commission No.
Commission No. •'•' • ��••. M ONSO
.•
,
= e`°`� EXPIRES: February 3, 2024
•'
•
:iz WM ION # GG 954331
P,F! °•'' Bonded Thru t�u&Undenxrltere
:or EXPIRES:Febtuary3,2024
Q
���BendedThna
PuDlfcUnderwrNen
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATI
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20