HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12-20-2017 Permit Number: T/�(• ���
• e R EVE
BuildingPermit A piclation
e t pp DEC 21 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: r ` % ��..,.. '
a e e I\
"'PR,OPOSEI IMPROVEMENT LOCATION:- r
Address: Jorgensen Road V1 _� n QZcQ 5 i,kp e-u NcK I
Legal Description: White City sid 06 36 40 s 164 ft of lot 81 (2.48 ac) (or 3938-667) . .
Property Tax ID #: 3403-502-0144-030-7
Site Plan Name:
Project Name: Pearson
Setbacks Front 144.79 Back: 429.23 Right Side: 29.68 Left Side: 53.67
DETAILED DESCRIPTION OF WORK:
Construct a single family residence witI43 bedrooms, 2 baths, and 2 car garage.
Lot No. 81
Block No.
CONSTRUCTION INFORMATION.:
Additional work to be performed under this permit —check a apply:
�HVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
Electric ❑✓ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 3274 S�Ftj of First Floor: 3274
Cost of Construction: $ 300,550.00 Utilities.I _I Sewer W1 Septic Building Height: 18 FT
OWNER/LESSEE:
CONTRACTOR:
Name Keith and Brandi Pearson
Name: James Trefelner
Address: 4911 Jorgensen Road
Company: Trefelner Construction Inc
City: Fort Pierce State: FI
Zip Code: 34981 Fax:
Phone No. 772-528-2392
E-Mail:
Address: 1760 Copenhaver Road
City: Fort Pierce State: FI
Zip Code: 34945 Fax: `
Phone No. 772-201-9833
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: trefelnerj@bellsouth.net
State or County License: CRC1330685
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: PauIWeIChInc
Name: Habor Community Bank
Address: 1984 SW Biitmore St Suite 114
Address: 200 South Indian River Drive
City: Port St Lucie State: FI
City: Fort Pierce State: FI
Zip: 34984 Phone: 772-785-9888
Zip: 34950 Phone: 866-734-2694
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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 the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing worK or recorainE vour Notice Ot CAmmencement.
8— ��f , 'J', 9 Y�=: s
_ Signat of Owner/ Lessee/Age ;'�' *• Signatur f Contractor/License der
STATE OF FLORIDA • �;: STATE OF FLORIDAC�
COUNTY OF "II �� �, COUNTY OF
The forgoing instrum was acknowledged] for
this � day of 20 ( ,
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The forgoing instrument was acknowledged b�fore x� a
thiti � day of eC 20 by 2
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(Na of person acknowledging)
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(Signature of Vary
- Public- State of Florida )
Personally Knowny OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
(Seal)
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(Signature of Notaryblic- State of Florida ) CJ
Personally Known YOR Produced Identification
Type of Identification Produced
Commission No. (Seal)
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