HomeMy WebLinkAboutBuilding Permit App - Early All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/16/2022 Permit Number:
_ �
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 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 10851 S.Ocean Drive,Jensen Beach, FL 34957
Property Tax ID#: 4511-810-0116-000/4 Lot No. 109
Site Plan Name: Windmill Village Block No.
Project Name: Early Residence
DETAILED DESCRIPTION OF WORK:
Construct a new two story single Family residence with 3 bedrooms, 1.5 bathrooms and 1 garage
New Electrical Meter X Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
X Mechanical _Gas Tank —Gas Piping _Shutters X Windows/Doors _Pond
X Electric X Plumbing _Sprinklers _Generator X Roof 2.25/12 Pitch
Total Sq. Ft of Construction: 1,297 Sq. Ft.of First Floor: 875
Cost of Construction:$ 230,000 Utilities: _Sewer _Septic Building Height: 22 feet
OWNER/LESSEE: CONTRACTOR:
Name Antoinette&John Early Name: Kevin Breen
Address: 698 Franklin Drive Company: K.L.Breen Builders Inc.
City: Perth Amboy State: NJ Address: 207 West Witney Drive
Zip Code: 08861 Fax: City: Jupiter State: FL
Phone No. 732-331-5825 E- Zip Code: 33458 Fax:
Mail: jjearlyl@gmail.com Phone No 561-856-0232
Fill in fee simple Title Holder on next page(if different E-Mail klbreenl@yahoo.com
from the Owner listed above) State or County License CBC036326
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: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone 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.
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 conflicts with any applicable Homeowners Association 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 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.
Signature ontract, -or Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF I � �� � t
Sworggn o(or affirmed)and subscribed bef re me of Physical Presence or Online Notarization
th is 9 day of ,20by
Name of person making statement.
Personally Known t/ OR Produced Identification
Typ o ]den Lfication Produced ��,
(Sigatur4 of Notary Public-State of Florida)
Commissi No. ( I
kfAID L(606 ARZOA
2�+ p�m� Notary Public,State of Florida
Commission#GG 926670
My comm.expires NOV.29,2023
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