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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONJ i I ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / 5—1 Q 4 (Q Date: �� 2 -2 a ' 15 )GANNEiL Permit Number: BY �, �t Lucie Counr� A & I;�'D Building Permit Application DEC 2 3,205 Planning and Development Services PERMITTING 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 I PROPOSED INPROVEMENT LOCATION: I Address: 3030 NW Radcliffe Way Legal Description. Riverbend Plat Book 67 Page 36 City of Port St. Lucie, St. Lucie County, Florida Property Tax I D #: 4425-703-0014-000-6 Site Plan Name: Riverbend Project Name: Riverbend Setbacks Front 45.01 Back: 106.81 Right Side: 17.50 Left Side: 17.50 DETAILED DESCRIPTION OF WORK: New Construction-SFR Model 6511-D/L Lot No. 9 Block No. CONSTRUCTION INFORMATION: Adclitional work to be nertormed under this permit— c ec all apply: W]HVAC L_J Gas Tank Gas Piping In _ Shutters a Windows/Doors Electric 7 Plumbing Sprinklers E Generator W] Roof Total Sq. Ft of Construction: 45 3 S A S Ft. of'�First Floor: Cost of Construction: $ 345,000.00 Utilities:Sewer W1Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Standard Pacific of South Florida Name: Richard Manning Woodley Address: 825 Coral Ridge Drive Company: Standard Pacific of South FI GP, Inc. City: Coral Springs State: FL Zip Code: 33071 Fax: 954-434-8840 Phone No. 954-232-2290 Address: 825 Coral Ridge Drive City: Coral Springs State: FL Zip Code: 33071 Fax: 954-434-8840 Phone No. 954-232-2290 E-Mail: Permits@brownspermitting.com E-Mail: Permits@brownspermitting.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or�County License: CBCA17970 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLE DESIGNE Name: _ Address: City: Zip: 'ENGINEER: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: _ I ICTION LIEN LAU1 Not Applicable State: _ Not Applicable , ' 0k r A-T ' N. MORTGAGE COMPANY: _ Not Applicable _ Name: Address: _ City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: 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 o your property. A Notice of Commencement must be recorded and posted on the jobsite before the first nspectig� n. If ybu intend to obtain financing, consult with lender or an attorney before commencinal r rE'Cordina vour Notice of Commencement. Signature of Owner Agent/ Lessee STATE OF FLORIDA COUNTY OF Broward The forgoing instrument was acknowledged before me this L— day of Z`, 20Ldby Michael Metzkes (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known. x OR Produced Identification Type of Identification Produced Commission No. :'t " &YY N SHACHAR ; o: ,� ' - MY COMMISSION #FF0071 ,OF -.•in ClnetrldNniANF3®rVICB.COf11 Revised 07/15/2014 " I Signature of Contrac License Holder STATE OF FLORIDA COUNTY OF The forgoiy, g instrument was acknowledged before me this.ay of UGC 20©by Richard Manning Woodley (Name of person acknowledging) ature of Non_arV 136blic- State Personally Known x OR Produced Identification Type of Identification Produced No. 6 rLINpSSELIN i; _., tdY CO tell N EE 2247.4u a P EXPIRES: August 14, 201E REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE �^ RECEIVED DATE COMPLETED u� ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 1512-0406 Building Permit Application 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:* Building PROPOSED INPROVEMENT LOCATION: Address: 3030 NW Radcliffe Way t. Legal Description: Riverbend Plat Book 67 Page 36 City of Port St. Lucie,,St. Lucie County, Florida Property Tax ID #: 4425-703-0014-000-6 Site Plan Name: Riverbend Project Name: Riverbend Setbacks Front Back: DETAILED DESCRIPTION OF WORK - New Construction-SFR Right Side: Left Side: 0 Change of Qaulifier Lot No. 9 Block No. CONSTRUCTION INFORMATION: itiona wor to je ne orme under this permit — cheCK all apply: Fv(]HVAC L_J Gas Tank Gas Piping _ Shutters Q Windows/Doors �✓ Electric 0 Plumbing []Sprinklers Generator Roof Total Sq. Ft of Construction: Cost of Construction: $ Sq. of First floor: _ Utilities: L ]Sewer WISeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name Standard Pacific of South Florida Address: 825 Coral Ridge Drive Name: Scott Harala Company: Standard Pacific of South FI GP, Inc. City: Coral Springs State: FL Zip Code: 33071 Fax: 954-434-8840 Phone No. 954-232-2290 Address: 825 Coral Ridge Drive City: Coral Springs State: FL Zip Code: 33071 Fax: 954-434=8840 Phone No. 954-232-2290 E-Mail: Permits@brownspermitting.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: Permits@brownspermitting.com State or County License: CGC1506052 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 1 SUPPLEMENTAL CONSTRUCTION LIENILAW'INF;ORMATIOR: DESIGNER/ENGINEER: - Not Applicable Name: Address: I City: State: Zip: Phone: I MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: I City: I Zip: Phone: I I BONDING COMPANY: Not Applicable Name: Address: City: 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 grans which is in conflict with any applicable Home Owners structure. Please consult with your Home Owners Ass( In consideration of the granting of this requested perr in accordance with the approved plans, the Florida Bu The following building permit applications are exempt accessory structures, swimming pools, fences, walls, si ng a permit will authorize the permit holder to build the subject structure ,ssoclatlon rules, bylaws or and covenants that may restrict or prohibit such ciation and review your deed for any restrictions which may apply. it, I do hereby agree that I will, in all respects, perform the work ding Codes and St. Lucie County Amendments. 'rom undergoing a full concurrency review: room additions, ;ns, 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. Signature of Owner/ Agent/ Lessee STATE OF FLORIDA COUNTY OF Broward The forgoing instrument was acknowledged before me this 5 day of May 20= by Scott Harala Name of person acknowledging (Signature of Notary Public- State of Florida ) Personally Known x OR Produced Identification Type of Identificatior{R�a - - - Commission No. Revised 07/ 15/2014 DENISE BROWN Commiss�#a F 140607 -Expires Pii vem�er 4, 2018 Bonded Thru Troy Fain Insurance 800385 5zvc�z , Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF Broward The forgoing instrument was acknowledged before me this 5 day of May 200by Scott Harala (Name of person acknowledging) (Signature of Notary. PubTiic- State of Florida') Personally Known x OR Produced Identification Type of Identifi ,rrr,,, DENISE BROWN Commission No _*: __ 'ssion # FF(15�7 Expires November 4, 2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED