HomeMy WebLinkAboutHalgas - Permit Application - 2.15.2022,sled y J�S
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
- J _
Building Permit Application
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: To Select from dropbox, click here
PROPOSED IMPROVEMENT LOCATION:
Address: 8112 S Ocean Drive Jensen Beach Florida
Legal Description: Diamond Sands Plat NO 2 (PB 54-40 lot 24
Property Tax ID #: 3527-501-0025-000-6
Site Plan Name: Halgas
Project Name: Halgas
Setbacks Front 20'
Back: 40' Right Side: 7•6 Left Side: 47.5
DETAILED DESCRIPTION OF WORK:
New Residence 2 Car Garage/ 6 Bathrooms / 4 Bedrooms
Lot No. 24
Block No.
Additional work to be nertormed under this permit — check all apply:
E1HVAC L_I Gas Tank Gas Piping _ Shutters Windows/Doors
❑ Electric ❑ Plumbing Sprinklers ❑ Generator Roof
Total Sq. Ft of Construction: S FtFjtj of First Floor; &4 2
Cost of Construction: $ 5 ) i' 4 Utilities: . U Sewer F]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Sherri Halgas
Name: Alan Tarpell
Address: 1526 Berlin Road
Company: AJT Construction Consulating LLC
City: Cherry Hill State: NJ
Zip Code: 08003 Fax:
Phone No. 561-799-5900 Ext 105
Address: 1760 N Jog Road Suite 120
City: West Palm beach State: FL
Zip Code: 33411 Fax:
Phone No. 561-799-5900 Ext 105
E-Mail: fran@phoenixcompaniesfl.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Fran @phoenixcom pan ies
State or County License: CGC-058625
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name: RandallStofft
Address: Swinton Ave
City: Delray Beach Florida State
Zip: Phone:
FEE SIMPLE TITLE HOLDER
Name: N/A
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name: N/A
Address:
City:
Zip: Phone:
_ Not Applicable
Not Applicable I BONDING COMPANY: Not Applicable
Name: N/A
Address:
City:
Zip: Phone:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
ignature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OFk
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The forgoing inst nt was acknowledgF4efore me
this day of 20by
r 1
(Name of person acknowl dging )
(Signature of Notary Public tate of Florida )
Personally Known i OR Produced Identification
Type of Identification Produced -- - --
ntractor/license
STATE OF FLORID_ A ,
COUNTY OF '"�
The fgXoing ins=twasnowled edbefore me
this OO day of21 by
(Name of person acknowledging)
AW41 n
(Signature of Not ublic ate of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. : '' "" '' : r�.� HH 111471 Commission No.
- • OMMIS
=•: 2025
:�•. :o�; EXPIRES: July 27, �.
Revised 07/ 1
FRAM S DUNZA
COMMIS fI HH 111471
EXPIRES: July 27, 2025
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