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HomeMy WebLinkAboutBuilding Permit ApplicationdIN ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: C0 �� Permit Number: IVED Building Permit Application JUN 12 2017 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: Building Address: 3058 NW Radcliffe WAY : Legal Description: RIVERBEND (PB 67-36)- LOT 16 Property Tax ID #: 4425-703-0021-000-8 Site Plan Name: X Lot No. 16 Block No. Project Name: Setbacks Front 40.27' Back: 201.70' Right Side: 15' Left Side: 15' DE7AILE:Q DESCRIPTION OF WORK i s. b e n ^v' Construction of Single Family Residence. 3 Bedrooms/ 3 1/2 Baths/ 3 Car Garage CBS Construction CONSTRUCTION INFORMAT(O�N , ' y.f .. .. Additional worKto ne ZHVAC nerrormea L_J Gas Tank unaertnis permit—cnecK an tnar Gas Piping Z_ apply: Shutters a Windows/Doors ZElectric 0 Plumbing Sprinklers E Generator IZI Roof 7/12 Roof pitch Total Sq. Ft of Construction: '151 S . Ft. of First Floor: 2`* 3 Cost of Construction: $ , © Utilities: _ Sewer Septic Building Height: 27 OCIUNER%LESSE; CONTRALTO{Rr Name Standard Pacific Of Florida Name: Scott D Harala Company: Standard Pacific Group of Florida GP Inc Address:15360 Barranca PKWY City: Irvine State: CA Address: 825 Coral Ridge Drive Zip Code: 92618 Fax: City: Coral Springs State: FL Phone No. 954-232-2290 Zip Code: 33071 Fax: E-Mail: sandi.cooper@calatl.com Phone No. 954-575-7355 E-Mail: sandi.cooper@calatl.com Fill in fee simple Title Holder on next page ( if different State or County License: CGC1506052 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. rA 1 SUPPLEMENTAL CONSTRUCTION LIEN tAW INFORMATION: DESIGNER/ENGINE . Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Hr rnaA o,gic./1 LAB Name: Address: 1(o00 S 17� �— 3f�.e_. ' oc Address: City: '9 6 a a vl Fir State: City: State: Zip: t`f Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: Not Applicable BONDING COMPANY: Not Applicable Name: Address: City: 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 Owner/ Agent/ Lessee STATE OF FLORIDA COUNTY OF' Broward Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF Broward The forgoing instrument was acknowled ed before me The forgoing instrument was acknowledged before me this 2 day of June 20� by this 2 day of June 20[l Scott Harala Scott Harala (Name of person acknowledging) (Name of person acknowledging) of Notary Public- State Personally Known x Type of Identification Commission No. Revised 07/15/2014 Aida ) -151gnature of Notary Public- State(¢f Florida ) J--ldmtif4callof�4 Personally Known x OR Produced Identification SAW COOS d ype of Identification Produire'r` Nctzry Pu �c I ���FY P SANDI COOPER us�l,� (1lssien {, FF 915698 .ommission No. • ° PSWPublic - State of Florid telly Coma. Expires Sep 7, 201 N R a _ Commission # FF 915698 go��edtn;oughNation l ?:ojary Asi n. MY COMM, Expires SOD 7, 201 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW EVIEW REVIEW REVIEW REVIEW DATE RECEIVED I` DATE COMPLETED