HomeMy WebLinkAboutBUILDING PERMIT APP BLAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Residential X
Address: 7201 Georges Road, Fort Pierce, FL 34951
Property Tax ID #: 1301-614-0172-000-8 Lot No. 20
Site Plan Name: 7201 Georges Road SFR Block No. 163
Project Name: 7201 Georges Road 5FR
DETAILED DESCRIPTION OF WORK:
New single family residence (412.512)
New Electrical Meter X Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
X Mechanical _ Gas Tank _ Gas Piping
X Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 3,011
Cost of Construction: $ 188,187.50
(Affidavit required)
_ Shutters X Windows/Doors _ Pond
Generator X Roof 6112 Pitch
Sq. Ft. of First Floor: 3,011
Utilities: _ Sewer X Septic Building Height: 17' mean
OWNERAESSEE:
CONTRACTOR:
Name Torching Holding LLC
Name: Marcio Silva
Address: 4002 Allerdale Place
company: Bela Vista Contractors, Inc.
City: Coconut Creek State: FL
Address: 750 E. Sample Rd. 3-2
Zip Code: 33073 Fax: None
City: Pompano Beach State: FL
Phone No. (954) 815-2700 E-
Zip Code: 33064 Fax: (954) 301-2234
Mail: torchingholding@gmail.com
Phone No (954) 644-3121
Fill in fee simple Title Holder on next page (if different
E-Mail belavistacontractors(ED_gmail. corn
from the Owner listed above)
State or County License CGC1508411
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: Paul Welch
Name:
Address: 1984 SW Biltmore St 114
Address:
City- Port5t Lucie State: FL
City: State:
Zip: 34984 Phone (772) 785-9M8
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X 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.
certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is santin a permit will authorize the permit holder to build the subject structure
which conflicts with any applicable Homeownersssocia ion 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 OWN ER: 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 n the jobsite before the first inspection. If you intend to obtain financing, consult
with le der or an at r before commencing work or recording our Notice of Commencement.
Sign ure of Ca ctor - or - Owner Builder as applicable
S ATE OF FLORIDA
UNTY OF Broward
Sworn to (or affirmed) and subscribed before me of X
Physical Presence or Online Notarization
this24thday of January 12022 by
Marcio SIIva
Name of person making statement.
Personally Kn wn x OR Produced Identification
Type of I ion oduced
J�!KaTi ffe a otary Publi a lorida)
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Commission Na. Seal)
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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REVIEW
REVIEW
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DATE
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