HomeMy WebLinkAboutBuildingPermitApplication_Ravinia 3A GR All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
91To
O
P 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
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 3055 W Midway Rd
Property Tax ID#: 340350201660008 Lot No. N/A
Site Plan Name: N/A Block No. N/A
Project Name: Ravinia 3A Right
DETAILED DESCRIPTION OF WORK:
Construct a new single family home with 3 bedrooms, 2 bathrooms, and 2 car garage.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _ Pond
Electric _ Plumbing _Sprinklers _Generator _ Roof Pitch
Total Sq. Ft of Construction: 1,936 Sq. Ft. of First Floor: 1,450
Cost of Construction: $ $73,568.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Synergy Homes, LLC Name:Synergy Homes, LLC
Address: 581 NW Mercantile PI, Suite 106 Company: Synergy Homes, LLC
City: Port St Lucie State:_ Address: 581 NW Mercantile PI, Suite 106
Zip Code: 34986 Fax: city: Port St Lucie State:
Phone No. 772-281-2955 Zip Code: 34986 Fax:
E-Mail:Jeremy@synergyhomesfl.com Phone No 954-557-9735
Fill in fee simple Title Holder on next page(if different E-Mail olivia@synergyhomesfl.com
from the Owner listed above) State or County License CBC1254289
If value of construction is 2500 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 MORTGAGE COMPANY: x Not Applicable
Name:Lillian Gonzales Name:
Address:1824 Richard Ln Address:
City: Palm Springs State: FL City: State:
Zip: 33406 Phone561-294-6929 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: n Not Applicable
Name: 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 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 inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signa re of Owner/Lessee/Contractor as Agent for Owner Signature o C ontractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
q COUNTY OF t- Cw COUNTY OF �4-� U C l e
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Pres1mce or Online Notarization _,X�Physical Prese ce or Online Notarization
this L� ,day of , ('� 202t_by this C�day of i1 202,fby
Name 6f person making statement. Namif of person making statement.
Personally Known OR Produced Identification Personally Known " OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of N ta':y Public-State of r' a (Signature of Not ublic-State of
VIA FITZGERA
(3O =O� Y P
aQLIVIA FITZGE OMMISSION#HH130 35
Commission No. ` RA commission No.j�F" L .��
Y COMMISSION#HH13 23 Q
�"FOFFlo"� EXPIRES:May 16,20 5 r s"FOFFlOP�: EXPIRES:May 16,202
+tF
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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