HomeMy WebLinkAboutBuildingPermitApplication_Ravinia 3A GL 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 X
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 Left
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: u111an uonzales Name:
Address: 1824 hicnara Ln Address:
City: calm aprings State: rL City: State:
Zip: 004U0 Phone561-294-6929 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: A 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.
Sign�of Owner/Lessee/Contractor as Agent for Owner Signature 4Kf Contractor/License Holder
STATE OF FLORIDA 11 STATE OF FLORIDA
COUNTY OF �t U C1 U COUNTY OF �`�- C''
Sworn to(or affirmed)and subscribed before me of Swo to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization /Physical Presence or Online Notarization
this `' day of ( 202Zby this�day of C 2022 by
Name of person making statement. Name of person making statement.
"
Personally Known OR Produced Identification Personally Known ®" OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State of FI nature of Notar Public-State r'
< YP� OLIVIA FITZG L Y
Commission No. 130 23.E MYCOMI<IISSION#H 2 4t Pu�ry OL VIA FITZGERAL
fission No. ® ✓ 9MMISSION#HH130235
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"�oFn°PP EXPIRES:May 16 2025 �'�°FFOP° EXPIRES:May 16,2025
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5 6/20