HomeMy WebLinkAboutPERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/10/2022 Permit Number:
Building 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 CBDG Funding
PERMIT APPLICATION FOR: New Construction Residential SF Home
PROPOSED IMPROVEMENT LOCATION:
Address: 3505 S Indian River Dr, Fort Pierce, FL 34982
Property Tax ID #: 2426-311-0004-000-7
Site Plan Name: Pinto Residence
Project Name: Pinto Residence
DETAILED DESCRIPTION OF WORK:
Construct a new residential 7,854 total SF home
New Electrical Meter Yes Second Electrical Meter (Affidavit required)
EEONSTRUCTION INFORMATION:
X
Lot No.
Block No.
-A
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 2L Sprinklers _ Generator X Roof 6/12 Pitch
Total Sq. Ft of Construction: 7,854 Sq. Ft. of First Floor: 3,600
Cost of Construction: $ $1,114,233.00 Utilities: _ Sewer X Septic Building Height: 35' 11"
OWNER/LESSEE`:
CONTRACTOR:
Name lose Pinto and Weelda Pinto
Address: 3505 S Indian River Dr
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-361-97 55 E-
Name: Frankie Gauthier
Company: Above and Beyond Developing, Inc.
Address: 1784 SW Erie St
City: Port St. Lucie State: FL
Zip Code: 34953 Fax:.
Phone No 772-579-5759
E-Mail frankiegll5O@gmail.com
Mail: pintofamily40@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License CGC1530831
It value of construction is Z500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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
which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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
impWenor
o your property. A Notice of Commencement must be recorded in the public records of St.
Lucid posted on the jobsite before the first inspection. If you intend to obtain financing, consult
withn attorney before commencing work or recording our Notice of Commencement.
S' ature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
f
COUNTY OF ��1 �,110,
r o
Swo(or affir ) an ub cribed bef !' Ph me of ysical Presence or Online Notarization
this day of 20by
C' r
Name of person makings stat ent.
r Personally Known OR Produced Identification
Type o I e 22ZL
(Signature of Notary Public- State of Florida)
Notary Public State of Florida
Commission No. (Seal)
l Melissa Wall
My commission
HH 187813
Exp.to/17/2025
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURYLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20721
PERMIT # ISSUE DATE
COUNTY
F LORI D A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
r-�A o oj+ ,rn Aw1bloq i D(m'o clpfilWfi have agreed to be
(Company Name/Individual Name)
the n( U. MhP %/ Sub -contractor for Ala v 2 On j j P /Y
(Type of Trade) (Prunary Contractor)
For the project located at S06 , :E0d1 d't1_ _Pik , F&�_ (?{
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change o b-contractor notice.
COWIRACTOR SIGNATURE (Qualifier)
�C K, t-
PRINr NAME
ceic — 1S_-3:09_-0
COUNTY CERTIFICATION NUMBER
State of Florida, County of Llf. . �._ 1 /
/ e
Thforegoing Instrument was signed before me this day of.
} , 20ss by /
who is persona known or has produced a
as ide//-7
tification. as identification.
STAMP
t)'q/zC
Signature of Notary Public Signature of Notary Public
l(re I Jffa Wo I I m ellff6L Wo I I
Print Name of Notary Public Print Name of Notary Public
Notary Public State of Florida
Melissa Wall
My Commission
illl EXp 10117/2025
Revised 11/16/2016
Notary Public State of Florida
Ak Melissa Wall
My Commission
1111 HH 187813
EXp.10/17/2025
SUB4 NTRACTOR SIGNATURE (Qualifier)
PRUYr NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of�
The foregoing instrument was signed before me thWs l day of
VI r / 20 by 2
who is personal y known or has produced a rl &A -
STAMP