HomeMy WebLinkAboutBuilding Permit ApplicationL_
ALL APPLICABLE
INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �' , "O ' 1 ` bG Permit Number:
RECEIVED
Building Permit Application
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
Address:'BERGER ROAD
Legal Description: 093539 BEG AT ON N-S SEC LIU 39 FT SLY OF N SEC LI, TH SLYALGF SD 1/4
SECLI 655.
PropertyTax ID #: 2309-122-0000-000-9
Site Plan Name: FUENTES CUSTOM HOME
Project Name: FUENTES CUSTOM HOME
Setbacks Front 120' Back: +200' Right Side: 55' Left Side: + 200'
Lot No.
Block No.
DETAII`D t)ECRIP1"IQN QF WORK
tit
r N N ti r
,. .�, ✓... .,, �. � �.. �a�'. 7 hb{ .q'•�` +� A 3i dk �x k W rfW.p � l,��W SF _ _ ��
NEW RESIDENTIAL HOME, FOUR BED ROOMS, FOUR BATH ROOMS, DOUBLE CARPOT.
QWindows/Doors
Roof
Total Sq. Ft of Construction: 4,837 So. Ft S Ft. of First Floor: 4,837 So. Ft
Cost of Construction: $ Utilities:11 Sewer Z Septic Building Height: 18'6"
01NNER/LESSEE _ . " If I
0QNTRACTOR E
Namei.PlPStinn anti Virninin FijPntPS
Name: I7aniPl Marin
Address:2401 SE Addison St
company: Alpha Design Contractor LLC
city: Port St Lucie State: FL
Address: 1492 SE Belcrest'St
Zip Code: 34952 Fax:
city: Port Saint Lucie State: FI
Phone No. 954-818-5473
Zip Code: 34952 Fax:
E-Mail:
Phone No. 772-446-5329
Fill in fee simple Title Holder on next page ( if different
E-Mail: nicomaauin@hotmail.com
from the Owner listed above)
State or County License: CBC1256205
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION=LI.EN OW'INFORMATION:
_ _.... , .
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: _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 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.
Signature of
as Aslent for Owner I Signature of
Holder
STATE OF FLORI qA kOUNTYOF
TATE OF FLORIDA r
COUNTY OF�,�',I
The for oing instr ent was acknowledge before me
this day of 20-11 by
Name of person making statement
Personally Known OR Produced Identification
Type of Iden�jfieation_
The forming jnstruknerit was acknowledge efore me
this day of 20 by
Name of person making statement
Personally Known OR Produced Identification
Type of Identificatierr'
Produced P (s
(Signature „ is I PFq fi0A1LSEN (Signature of Notary PuMic-
SppY P(,efl,
o � State of Florida -Notary Public
Commission 9; 'ssion AS IP07484 Commission No. a
"sir, P;c My Commission Expires
',0iin�`` June 12, 2022 =*
i 9f
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETA
COUNTER REVIEW REVIEW REVIEW I 'REVIEW
DATE
COMPLET
Rev.8/2/17
of
KARVY, NI— E� N
State of Florida -Notary, Pub
Commission # G
My 1'nmssion Expires
I —