HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (� �� i r Permit Number:
RR E
Building Permit Application JuP,R
Planning and Development Services PERUHJ-fl(\!G
Building and Code Regulation Division
St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION: ,
Address: 6401' S Indian River Dr, Fort Pierce, FL 34982
Legal Description: 12 36 40 THAT PART OF N 100 FT OF FOL DESC PROP LYG E OF FEC RR: BEG AT SE COR OF LOT 1 RUN W 28 CHS,
TH N 7.36 CHS, TH E TO INDRIV, TH SLY TO POB-LESS S 225 FT AND LESS RD R/W- (1.91 AC) (OR 3909-386)
Property Tax ID #: 3412-123-0001-000-9 Lot No.
Site Plan Name:
Project Name: Heizler Residence
Setbacks Front 25 Back: 15
DETAILED DESCRIPTION OF WORK:
Construct single family residence.
Right Side: 10 Left Side: 10
Block No.
3 ,�)QaQo yA , 3 1 '5' Cap pvay , evSC iy,� 5kab t &MwcL�
CONSTRUCTION- INFORMATION:
Additional wor t0 e nertormed under this permit— check all apply:
RjHVAC 0 Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
W1Electric 0 Plumbing Sprinklers Generator Roof 6/12 Roof pitch
Total Sq. Ft of Construction: 4,346 SgFtj of First Floor: 4,346
Cost of Construction: $ 350,000.00 Utilities: LJSewer Septic Building Height: 25ft
OWNER/LESSEE.
CONTRACTOR::
Name Terry & Karen Heizler
Name: David A. San George, Jr.
Address: 2800 Boatramp Avenue
Company: Showcase Designer Homes, LLC
Address: 12825 SE Suzanne Drive
City: Palm City State: FL
City: Hobe Sound State: FL
Zip Code: 34990 Fax:
Phone No. 772-233-7059
Zip Code: 33455 Fax: 772-546-8420
Phone No. 772-546-5144
E-Mail: heizlernursery@bellsouth.net
Fill in fee simple Title Holder on next page ( if different
E-Mail: brandi@showcasedesignerhomes.com
from the Owner listed above)
State or County License: CRC1331112
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN'LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY:
Name: MK Structural Engineering
Address: 867 W Eau Gallie Blvd., Suite 201
City: Melbourne State: FL
Zip: 32935 Phone: 321-600-0672
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: Terry & Karen Helzler
Address: 2800 Boatramp Avenue
City: Palm City, FL
Zip: 34990 Phone: 772-288-6762
Name:
Address:
Citv:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
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 your Notice of Commencement.
Sigrfature wner/Lessee/Contractor as Agent for Owner Sign
STATE OF FLORIDA
COUNTY OF AA1(\
The forgoing instrunt was acknowledged before me
this W day of �ka'ne , 20 nby
af
(Name of person acknowledging)
T:u ]A A\Il�t-�
(Signature of N tary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
rise Ho
STATE OF FLORIDA'
�„��
COUNTY OF ��.�1
The forgoing instrument was acknowledged before me
this \U day of 20 \_1 by
�1 \1 : y\
(Name of person acknowledging
(Signature of Notbry P lic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.'��: BRAN��, MCNAMARAI Commission No.
MY CO MINION # GG032190
27.2020
Revised 07/15/20
BRANQ��� MCNAMARA
MY CO�yMIS ION # 00032190
EXPIRES November 27, 2020
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