HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONT
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 'r�k,SCANNED Permit Number: / 1%9 07�
Es i S' :_"k� BY
St Lucie County
Building Permit Application
Planning and Development Services ® E C 2 9 2011
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Reident.ial-x .........
PERMIT APPLICATION FOR: Building
PROPOSED LMPROVEMENT.LOCATfON
NW RADCLIFFE 3014 ^ ` _ ^ -
Address: WAY m �� c y 1q
0
Legal Description: RIVERBEND LOT 5 tit
Property Tax ID #: 4425-703-0010-000-8
Site Plan Name:
Project Name:
Setbacks Front36.78 Back:57.64
P
Right Side: 11.57 Left Side: 12
DETAILED DESCRIPTION .OF 1NORK
CONSTRUCTION OF SINGLE FAMILY RESIDENCE 1 STORY CBS
3 BEDS ,3-i BATHS 3 GARAGE
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CONSTRUCTION INFORMATION.
Ariefitinnni%Aj^rL, to ho e orme "nrlpr this ermit - rhorit a I I thnt a
Lot No.5
Block No.
9HVAC
Gas Tank ❑Gas
p
Piping
pp Y•
_ Shutters
❑ Windows/Doors
Electric
0
Plumbing
❑Sprinklers
❑
Generator
Roof
�12
Roof pitch
Total Sq. Ft of Construction: 4770
Cost of Construction: $ 399,250.00
S . Ft. of First Floor: 3215
Utilities:[]Sewer RISeptic
Building Height:
OWNER/LESSEE .:. ;..
CONTRACTOR:
Name STANDARD PACIFIC OF FLORIDA
Name: SCOTT HARALA
Company: STANDARD PACIFIC OF FLORIDA GROUP
Address:15360 Barranca PKWY
City: IRVINE State: CA
Address: 825 CORAL RIDGE DRIVE
Zip Code: 92618 Fax:
City: CORAL SPRINGS State: FL
Phone No.954-575-7300
Zip Code: 33071 Fax:
E-Mail:austin.sims@calatl.com
Phone No. 954-575-7300
Fill in fee simple Title Holder on next page ( if different
E-Mail: PWXLISA@YAHOO.COM
from the Owner listed above)
State or County License: CGC1506052
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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PFLEIVIENTALCONSTRUCTION LIENLAW I;NFORMATI'ON�
7
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,.
_
DESIGNER/ENGINEER:
_Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
_ _ _
Name:
Address:
Address
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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
cornmencing work or recording our Notice of Commencement.kj
Rev. 8/2/17
Signature of Owner/ Lessee/Contractor as Agent for Owner -
Signature of Contractor/License Holder
STATE OF FLORID.
��
STATE OF FLORID��
OF .,��
COUNTY OF -L�L�`c�G�
COUNTY
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 29 day of DECEMB(E��R ,2o 17 by
this 29_day of nF('1FMRFR .20,E by
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known _�_ OR Produced Identification
_�
Type of Identification
Type. of Identification
Produced
Produced
(Signature of No of Florida)
(Signature of Nota y• ,ti0= mate-e€-F!
IAY 04r
Commission No. [:ib&---.I;tat:e
r°••SIVAti� �i-IACI-iAR
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�'• •' •`•�;: SIVAN SFfACMAFt
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Commission No. MY COMMISSI&� �Opg2944
Y COMMISSION # G0082944
EXPIRES
""'3,"•ri°•' EXPIRES A
"'• April 10, 2021
April 10, 2021
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