HomeMy WebLinkAboutVOID PERMIT APPLICATIONVo �D
ALL APPLICABLE INFO MUST BE COMPLETED WROPL'('C2MON TO BE ACCEPTED
Date: T /CO BY ( Permit Number: f J
�i �ll�l� C®UN`�lP
Building Permit Application 7FIEB 2 9 2010
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
PER,'WITTING
St. Lucie County, FL
Residential x
PERMIT APPLICATION FOR: Building I
PROPOSED !IMPROVEMENT LOCATION."."
Address: 4905 River Place /1
Legal Description: Lot 4 River Place
Property Tax ID ##: 3404-601-0005-000-9
Site Plan Name: Single Family Residence
Project Name: LiCausi residence
Setbacks Front 25 Back:
P2
15 R19 t Side: 10 Left Side: _ 10
Construct a Two Level Single Family
7XIa GQ2 6sri ��
Lot No. 4
Block No.
4
CONSTRUCTION INFORMATI` N
Additionalwork to e e orme n er t is permit — check a apply:
�HVAC Gas Ta Gas Piping Shutters Q Windows/Doors
OGenerator
Electric Plum ing Sprinklers Roof
Total Sq. Ft of Construction: 3,654 S�Ft. of First Floor: 2,931
Cost of Construction: $ 18 ,100.00 Utilities: LJSewer Septic Building Height: 26 feet
O.WNERJLESS'EE
:CONTRACTOR
Name Steve LiCausi
Name: Dennis J. Witherow
Address:10710 SW W stlawn Blvd.
Company: Regatta Building & Development, LLC
City: Port St. Lucie State: FL
Address: 234514th Avenue Suite 6
Zip Code: 34987 Fax: (772) 785-6465
City: Vero Beach State: FL
Phone No. (772) 78 -6465
Zip Code: 32960 Fax: (772) 564-9822
E-Mail: sldesigngr p@yahoo.com
Phone No. (772) 564-9220
Fill in fee simple T tle Holder on next page ( if different
E-Mail: djwitherow@bellsouth.net
from the Owner listed above)
State or County License: CGC1520800
IT value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
��
Name: Paulwelch, Inc.
Address: 1984SWBiltmoreStreet #114
City: Portst. Lucie State: FL
Zip: 34984 Phone: (772) 78SIM8
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: lNot Applicable
Name:
Address:
City:
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 concurrencq 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 tie first inspection. If you intend to obtain financing, consult with lender or an attorney before
commeocinR work or,recordiine vour Notice of Commencement. 11__, /--,%
(Signature of owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF
The fo ping instrum d.was acknowledged before me
this day of 20 �by
.4pirp L, (1 pmsi
(Name of person acknowle ging ),
(Signature of Notary -Public- State of Florida)
Personally Known OR Produced Identification
Type of identification Produced D.L.
Commission No.
Revised 07/ 15/2014
STATE OF F�RIDr = �, �`ry
COUNTY OF �o.�
The forgoing instrument wa acknowledgeg before me
this _a1day Of yy 20 L'2 by
o �✓ �zN/"'r S K/e
(Name of person acknowledging)
(Signature of Notary Public- State of Florida)
Personally Known 6` OR Produced Identification
Type of Identification Produced
"KAREN S. NIELgir
Commission N FF 115637
June 12, 2018
No. R ANT ANOEI.O
1J0X% W coMMSSION f Ff 117049
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
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INITIALS
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