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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONL 1 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4 •21, • / Y SGANN Permit Number: L y^ [7 R E C E IV" E Building Permit Application APR 16 2018 Planning and Development Services Building and Code Regulation Division Permitting Department 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-15178 Commercial 6b-Oe- County, FL PERMIT APPLICATION FOR: Building Address: 3027 NW Radcliffe WAY A Legal Description: RIVERBEND (PB 67-36) Property Tax ID #: 4425-703-0049-000-0 Site Plan Name: Project Name: Setbacks Front50.00 Back: 140.69 44 D Right Side: 35.05 Left Side: 35.62 CONSTRUCTION OF SINGLE FAMILY RESIDENCE 2 STORYJf 1/�2�BATHS 3 GARAGE (9'/— D Os:-) Lot No.44 Block No. Haartionai worK to De ertormea under this1permit — check all apply: R]HVAC Gas Tank Gas Piping _ Shutters ✓� Windows/Doors Fv!Electric Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction; 5651 S . Ft. of First Floor, Cost of Construction: $ 502,200.00 I Utilities: Sewer Septic Building Height: 27.5 O;WNERf LESSEE x �',`tCONTRACTOR 4, Name Standard Pacific Of Florida I Name: SCOTT HARALA Company: STANDARD PACIFID OF FL GP INC Address:8895 NORTH MILITARY TRAIL I City: PALM BEACH GARDENS State:FL Address: 8895 NORTH MILITARY TRAIL City: PALM BEACH GARDENS State: FL Zip Code: 33041 Fax: Phone No.954-575-7368 I Zip Code: 33041 Fax: E-Mail:AUSTIN.SIMS@LENNAR.COM I Phone No. E-Mail: PWXLISA@YAHOO.COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) I State or County License: CGC 1506052 IT vawe oT construction is :�Lsuu or more, a KtcoRDED Notice of commencement is required. S` SUPPLEMENTAL CON"STRUCTION°nL`[ENLAW�NFORMATIQN x� j ` _ QESIGNER./UUNqNEFR�t Name: �v/ Address: 00 s I ; �i City: [ ca a�Df\ Zip: q!�� Phone SV -31P, Applicable MORTGAGE COMPANY: _ Not Applicable , Name: Address: I TM I State: G - 3 �4 City: State: Zip: Phone: I FEE SIMPLE TITLE HOLDER: _ Not Name: Address: City: Zip: Phone: Applicable BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone I 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 com Imenced prior to the issuance of a permit. St. Lucie County makes no representation thajt is granting.a permit will authorize the ermit 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 FIorlda 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, fencesi, 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 commencing work or recording our Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORI p• , lt) STATE OF FLORID ter'�c� COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this $Q_day of MARCH 2O� by this,aQ_• day of MARCH 20 18 by Name of person malting statemen.� Name:of person making statement Personally known OR Produced Identification Personally Known A_ OR Produced Identification _ Type of Identification Type of identification Produced Produced (Signature of Notary - State of Florida) (Signature of Nota �c-5ta!-te cif-'�I 'X $fVAN Commission No. :. '? Div" lyeasl "'�Ci��'� SNACWAR Commission No. ;�: = MY COMMISSi � I�G082944 Y COMMISSION EXPIRES # GC3082944 April 10. 2021 ?^Pv�°.�` EXPIRES April 1Q 2021 REVIEWS FRONT ZONING I SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17