HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/8/2020 porm it NumFcr• 1 1 Y�F.I /I� 1
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential X
PERMITTYPE:Single Family Residence
FRQEOSEWli1APR'01iEMNT
Address: xxxxx Seminole Road, Fort Pierce, FL
Property Tax ID #: 1326-800-0006-0002
Site Plan Name: Papaya Grove
Project Name: Suchon Residence
Construction of new single family home
Lot No.5
Block No.
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping . Shutters _ Windows/Doors
_ Electric _ Plumbing
Total Sq. Ft of Construction: 3099
Cost of Construction: $ 117,762.00
_ Sprinklers _ Generator _ Roof Pitch
Sq. R. of First Floor: 3099
Utilities: —Sewer. Septic Building Height:
'flUVNER%Li^S r d
C(3I�TRAC:iQ
NameThomas & Susan Suchon
Name:Ryan Davis
Address:10879 SW Dalton Ave
Company:Synergy Homes, LLC
Address:3950 RCA Blvd, Suite 5000
City: Port St. Lucie State: _
Zip Code: 34953 Fax:
City: Palm Beach Gardens State: FL
Phone No.772-834-0008
Zip Code: 33410 Fax:
E-Mail:tomsuchon@yahoo.com
Phone N0561-623-0476
Fill in fee simple Title Holder on next page ( if different
E-Mail Jeanne@synergyhomesfi.com
from the Owner listed above)
State or County LicenseCBC1254289
Ivuiur ul cvnscrucuun is;Pzwu or more, a KtLV Kutu notice of commencement is required.
If value of HVAC Is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable
Name: Li I I i on 6vYY2_CLI.eZ_
Address: �f ;
City: P��S State:
Zip: 334OG Phone lc� -1- Z 9 q-6429
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
---
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip' Phone:
BONDING COMPANY:y Not Applicable
Name:
Address:
City:
Zip: Phone:
UVII IYCK/ LUIV 1 KAL I UK APPIDVIT: 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF Mn FlurFINFIVr "
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of ontractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFPAuw BEACH
COUNTY OF PALM BEACH
The f ing instrum t was acknowledged before me
The f ing instrument was acknowledged before me
g
this day of 20�D by
this day of--, i i � 20 � by
I k/QA �CCViS
!'n Cyan bC'V of
Name 6f person making statement.
Name of person making statement.
Personally Known %` OR Produced Identification
Personally Known �� OR Produced Identification
Type of Identification
Type of Identification
P duced 1.9
Produced
r
(Signature of Nota Lat�A
gnature of Notary ubli Sj
Commission No. DP E L. JOHNS
ISSION
Commission No. MYCHOnI S$ ON4)ax �N
# GG251845
EXPIRES; JuIY 17, 2021
S; JuIY 17,2
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