HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE 11 INFO M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 2
Date: ZZ� Permit Number:
�� WOE RECEIVED
Q ' - Building Permit Application MARV 2022
Planning and Development Services Permitti
Building and Code Regulation Division Commercial Residential - st. L ?e
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Residential Remodel
PROPOSED IMPROVEMENT LOCATION:
Address: 155 Pepper Lane, Jensen Beach, Florida 34957
Property Tax ID #: 4511-503-017(l9-()onJR Lot No. 3
Site Plan Name: Bay Tree Subdivision Block No.
Project Name: Brown Residence Remodel
DETAILED DESCRIPTION OF WORK':
New Electrical Meter
Second Electrical Meter
Additional work to be performed under this permit —check all that apply:
(Affidavit required)
_Mechanical _ Gas Tank —Gas Piping _ Shutters _)L Windows/Doors _ Pond
_X Electric _XPlumbing _ Sprinklers _ Generator _X_ Roof 5/12 Pitch
Total Sq. Ft of Construction: 2,970 Sq. Ft. of First Floor: _
Cost of Construction: $ 350,000.00 Utilities: X Sewer _Septic
Building Height: 19.5 ft
OWNER/LESSEE:
CONTRACTOR:
Name Thomas C. & Sandra E. Brown
Name: John L. Risotto, Sr.
Company: John L. Risotto General Contractor LLC
Address: 155 Pepper Lane
City: Jensen Beach State: FL
Address: 4921 SE Pompano Terrace
Zip Code: 34957 Fax:
City: Stuart State: FL
Phone No. 772-475-9312 E-
Zip Code: 34997 Fax:
Mail: paintingsbysandra@gmail.com.
Phone No 772-634-1242
Fill in fee simple Title Holder on next page (if different
E-Mail.iriaottosdZaol.com
from the Owner listed above)
State or County License #29318
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: _ Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name: Mathers Engineering, Corporation
Name:
Address: 2431 SE Dixie Highway
Address:
City: Stuart State: FL
City: State:
Zip: 34996 Phone (772) 287-0525
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 vour Notice of Commencement.
r
Signat o Contractor - o her Builder as applicable
ST F FLORIDA
COUNTY OF MARTIN
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this _ day of February 20 22 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
Commission No. (Seal)
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