HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12-20-2017 C' hermit Number: V _
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Building Permit Application
Planning and Development Services DEC 21 2017
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
-PROPOSED 1MPROVEM_ENT.LOCAfI'0N t
Address: Trowbridge Road u '10v5b {i N C, R.� �/ Jr 1 1 rim 3 _f I H
Legal Description: Orange Ave Av Park Lot 6 (map22/11x) (11.62 ac) (or 4014-1692: 4070-2918, 2920)
Property Tax ID #: 2212-800-0006-000-5 Lot No. 6
Site Plan Name: Block No.
Project Name: CONEY
Setbacks Front 263 Back: 939.54 Right Side: 113.92 Left Side: 200
"_D`ETAILED DESCRI'PTION."OF WORK
Construct a single family residence with edrooms, 3 baths, and 2 car garage.
CONSTRUCTfON I•NFORMATIOW
Additional work to e nertormed under this permit — check
ZHVAC ❑Gas
all
apply:
Q
Gas Tank
Piping
_
Shutters
Windows/Doors
ZElectric ❑✓_
O
Plumbing
Sprinklers
Generator
Roof
Total Sq. Ft of Construction: 4262
S . Ft. of First Floor: 4262
a
Cost of Construction: $ 380,000.00
Utilities:cn
Sewer
W1
Septic
Building Height: 16 FT
CONTRACTOR:
Name Matt and Angela Coney
Name: James Trefelner
Company: Trefelner Construction Inc
Address: 8303 Fort Walton Ave
City- Fort Pierce ' State: FI
Zip Code: 34951 Fax: +""'
Phone N 0. 772-528-1532
E-Mail:
Fill in fee simple;Title Holder on next page ( if different
from the Owner'listed above)
Address: 1760 Copenhaver Rd
City: Fort Pierce State: FI
Zip Code: 34945 Fax:
Phone No. 772-201-9833
E-Mail: trefeinerj@bellsouth.net
State or County License: CRC1330685
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I
SUPPLENIE'NTAL CONSTRUCTION"LIEN `L'AVV INFORMATION::
DESIGNER/ENGINEER: _ Not Applicable
Name: Architectonic Inc,
MORTGAGE COMPANY: _ Not Applicable
Name: Habor Community Bank
Address: 806 Delware Ave
City: Fort Pierce State: FI
Zip: 34950 !Phone: 772460-7751
Address: 200 South Indian River -Drive
City: Fort Pierce State: FI
Zip: 34950 Phone: 866-734-2694
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 t6your 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 recordinavour Notice of Commencement.
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_ Si ture of Owner/ Lesse Agenignatdfe of Contractor/Licen der m
STATE OF FLORIDA ST OF FLORIDA
COUNTY OF ¢¢ z COUNTY OF m
The f going instrument was acknowledged befo w The fo� oing instru ent was acknowledged before me o o¢
e��% da of ( Cr 20 b � ">< this day of �) '(�C 20 Eby m this y y a rL
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(N m of person acknowledging) """' (Na a of erson acknowledging) a.
(Signature of Nota ublic- State of Florida) (Signature of Notary Pub 'c State of Flori a )
Personally Know OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/1014
REVIEWS
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