HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/8/2018
MANNED
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Permit Number: Ali 6 _a' _-6a W
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
RECEIVED
FEB 0 9 2018
ST,-Lucle County, PermlgCing
Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line S �.
PROPOSED IMPROVEMENT LOCATION:,
Address: 120 Berger Rd
Legal Description: R G Allen S/D-an unrecorded platin sec 9-35-39 bik 2 lots 3 and 4(0.59 ac) (or 1694-861: 4056-5,
Property Tax ID #: 2309-501-0015-000-0 Lot No.3 and 4
Site Plan Name: Block No. 2
Project Name: Slay residence
Setbacks Front2 ft Back: 58 ft Right Side: 3Q-0" Left Side: 11
DETAILED DESCRIPTION F'WORK:
Construction of a single family residence with three bedrooms and ItLW9 bath.
5.5
'CONSTRUCTIO.N INFORMATION
2=iti workto e e orme under this permit —check a apply:
HVAC 1, Gas Tank ❑Gas Piping _ Shutters ✓Q Windows/Doors
`❑. Electric 21 Plumbing ❑Sprinklers ❑, GeneratorZ Roof 4 Z Roof pitch
Total Sq. Ft of Construction: 2321 S . Ft. of First Floor:le
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Cost of Construction: $ 200,000.00 Utilities: Sewer ❑ Septic Building Height: 18 ft
OWNER/LESSEE:
CONTRACTOR, , .
Name Lawrence and Katrina Slay
Name: James Trefelner
Address:131 Berger Rd
Company: Trefelner Construction Inc
City: Fort Pierce State:FI
Address: 1760 Copenhaver Rd
Zip Code: 34945 Fax:
City: Fort Pierce State: FI
Phone No.772-801-1998
Zip Code: 34945 Fax:
E-Mail:
Phone No. 772-201-9833
Fill in fee simple Title Holder on next page ( if different
E-Mail: trefelned@bellsouth.net
from the Owner listed above)
State or County License: 28600
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
CONSTRUCTION LIEN,LAW
INF�O,RMATION
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DESIGNER/ENGINEER: _ Not Applicable
pP
MORTGAGE COMPANY:
Not Applicable
Name: Paul Valella
Name: Harbor Community Bank
Address:138 SE Naranja Ave
Address: 200 S Indian River Dr
City: Port St Lucie State: FI
City: Fort Pierce
State: FI
Zip:34983 Phone772-871-2457
Zip:34949 Phone:772-466-8820
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 ary�ttorney before
commencine work or recordine vour Notice of Commencement. �
All
Signatur f owner/ L /Contractor as Agent for Owner
Signature or ntractor/L' se Holder
STATE F FLORITA
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STATE OF FLOI.,IQA
COUNTY OF 5 .
COUNTY OF Z5 -t -
The forgoing instrum nt was acknowledged before me
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The forgoing instrument was acknowledged before me
this day Try - 26, A by
this day of 20L, by
of ,
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Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identififation
Type of Identification
Produced 7
Produced LiDt
(Signature of Notary blic- St
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(Signature of N ,g ,lc- a 1�IGNENs
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GG 022023
Commission No. COMtdIS o
202
=�° °` MY COMMISSION # GG 01023 i
Commission No. 6 EXPIRES: Der S" 202o
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
tev. 8/2/17