HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: S 11a� 1 A � 1 Permit Number: � 1
RECEI`.D MAY 3 0 2017
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: Renovation
;PROPOSED 1MPROUEMENT LO:CATLON '
.4FC 3 �' i
Address: 9628 ENCLAVE CIRCLE PORT SAINT LUCIE FL 34986
Legal Description: ENCLAVE AT THE RESERVE LOT 8 (OR 3723-1219: 3895-824)
Property Tax ID #: 3322-800-0011-000-4 Lot No. 8
Site Plan Name: Block No.
Project Name: GOSCHKE RENOVATION
Setbacks Front 50' Back: 35' Right Side: 20' Left Side: 20'
DETAILED DESCRIPTIO'N:OFwWORK: .. G.,_
NEW CABNETRY, NEW FLOORING,NEW PLUMBING FIXTURES, ADD URINAL, ADD (2) NEW WINDOW OPENINGS
TO EXISTING ENTERAINMENT ROOM, REPLACE (2) EXISTING EXTERIOR DOORS WITH HURRINCANE DOORS,
BUILD NEW WINE ROOM (NON-STRUCTURAL WALLS) INSIDE EXISTING ROOM OF HOUSE. UPDATE LIGHTING
FIXTURES, ADD COVERED ENTRY TO EXISTING WALKWAY
witionai worK to De
ZHVAC
errormea
Gas Tank.
unaer tnis permit- cnecK aii
Gas Piping
apply:
Shutters
Windows/Doors
_
ZElectric 0 Plumbing
Sprinklers y `"'
Generator
Roof Roof pitch
Total Sq. Ft of Construction: 379 ... S Ft. of First Floor: _
Cost of Construction: $ l ' D ,_ p D r� CZ� UtilitiestSewer Septic
Building Height:
OWNER/LESSEE,; y ; s
CTOR
CONTRAll
Name_ANN MARIE & DOUG GOSCHKE (TR):.x' .
Name: AURELIO F PEREIRA
Company: VILLADELTA CONSTRUCTION CORP, LLC
Address: 1425 SE VILLAGE GREEN DRIVE
Address: 9628 ENCLAVE -CIRCLE
City: PORT SAINT LUCIE State: FL
City: PORT SAINT LUCIE State: FL
Zip Code: 34986 Fax:
Phone No.
Zip Code: 34952 Fax:
Phone No. 772-444-2577
E-Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail: BOB@VILLADELTA.COM
from the Owner listed above)
State or County License: CRC058035
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
.SUPRLEMENTAL �CONSTRUtTION LIEN LAtN INFORIVIATIO.N . =-.ate. _ .'_`. °
DESIGNER/ENGINEER: X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name: HARVEYKOEHNEN
Name:
Address: 7205 Elyse Cirle
Address:
City: Port Saint Lucie State: FL
City: State:
Zip: 34952 Phone: (772)465-5509
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: X Not Applicable
_
Name: SAMEASOWNER
Name:
Address:
Address:
City:
City:
Zip: Phone:
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 thefirst inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing ttiiiork or recording vour Notice of Commencement.
1Yw ��"�✓ s
Signat a of Owner/Lessee/Contractor as Agent for Owner Si ature of Contractor/License Holder
STATE OF FLO I A STATE OF FLORIDA
COUNTY OF G„ - W C01- COUNTY OF IUD -
The forgoing instrufnt was acknowledged before me The forgoing instrument was acknowledged before me
this day of f f Ji.!/1/I 20 0—by this _�)L day of M CW 20 n by
(Name of person acknowledging)
� AaQ�Nw"X
(Signature of Notary Public- State of Florida )
AAMIb �_. 19?'Acia—
(Name of person acknowledging)
ktw t Nwu'o
(Signature of Notary Public- State of Florida )
Personally Known OR Prgdaced Identification
Personally Known OR Proa d Idenj'f at[ n X
Type of Identification Produced#
ype of Identification Produced ffm?Aok
l 71 I
Commission No t a �e �,,
4 _
LISA ��¢C���4DULLO T�,�.d�
Commission NO( u
ar PubIPC e%ID of Florida
� i u,
ISA M. CAUDULLO
_ •=
Commission # FF 242801
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Notary Public - State of Flori
f� OF F�Op,
1.0 Bonded
Revised 07A
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through National Notary Assn.
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Commission # FF 242801
My Comm. Expires Sep 25, 2C
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Bonded through National Notary As
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