HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO yMUST BE COMPLETED-FOR APPLICATION TO BE ACCEPTED -7
Date: `f✓ Permit Number: ti�,i In C�-
RECEDI V E F.jr
Building Permit Application JUN 2 6 .2015
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: 3100 NW Radcliffe Way 1M C(,
Legal Description. Riverbend Plat Book 67 Page 36 City of Port St. Lucie, St. Lucie County, Florida
PropertyTax ID#. 4425703 ��5— 02 ®0� — Lot No.19
Site Plan Name: Riverbend Block No.
Project Name: Riverbend
Setbacks Front 50.00 Back: 345.51 Right Side: 10.0 Left Side: 22.0
DETAILED DESCRIPTION OF WORK:
New Construction-SFR Model-6812 Elevation A Garage R
CONSTRUCTION INFORMATION:
Additional work to Ei
orme un er t is permit—c ec a app y:
ZHVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
W1Electric 0 Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 7886 S Ft.of First Floor: 3043
Cost of Construction:$ 513,000.00 Utilities. LJ Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Standard Pacific of South Florida Name: Richard Manning Woodley
Address:825 Coral Ridge Drive Company: Standard Pacific of South FI GP, Inc.
City: Coral Springs State:FL Address: 825 Coral Ridge Drive
Zip Code: 33071 Fax:954-434-8840 City: Coral Springs State:FL
Phone No.954-232-2290 Zip Code: 33071 Fax: 954-434-8840
E-Mail:Permits@brownspermitting.com Phone No. 954-232-2290
Fill in fee simple Title Holder on next page(if different E-Mail: Permits@brownspermitting.com
from the Owner listed above) State or County License: CBCA17970
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
CERTIFICATION:
This application is hereby made to obtain a permit to do the work and installations as indicated,and to obtain a certificate of capacity,
if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS,
AND AIR CONDITIONERS,FENCES,ETC.,not otherwise included with this building permit application.
St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit s uch
structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory
structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non-
residential use.
NOTICE 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 JOBSITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT,TITLE,AND INTEREST THAT IS SUBJECT TO
ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT,YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
OWNER OR C NTRACTOR SIGNATURE CONTRACTOR SIGNAT
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Broward COUNTY OF Broward
The foregoing instrument was acknowledged before The foregoing instrument was acknowledged before
me this S day of r- 20 (S me this loth day of February ,20 15 ,
by Ktd-wp—1 ( �.�L s by Richard Woodley Manning
who is personally known_X or has produced who is personally known X or has produced
as identification. as identification.
Signature of Notary Signature bf Notary
+,4PaY'r-Qp, LINDA C.GOSSELIN
?� v0:
=., r MY COMMISSION#EE 2247
Commission No. �:9Y'e'"';^DENISE Commission No. EE 224735 l) EXPIRES:August 14,201
L' ;,- Commission# 140607 R 4 `` Bonded Thru Notary Public Undery iters
Expires November 4,2018
-'•'F,-,�o'd f;°:``,+ Bonded Thru Troy Fan Insurance 800-395.7019
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS.
For specific instructions see appropriate permit checklist.