HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR AF
Date: 4-27-18 SCANNED
BY
- St Lucie County
Building
CATION TO BE ACCEPTED G� (Dos 3�
.S � s Permit Number: O
rmit Application AF
R 2 1 ?O1B
Planning and Development Services pennittrn
Building and Code Regulation Division St' Lucie 2300 Virginia Avenue, Fort Pierce FL 34982 bounty nt
Phone: (772) 462-1553 Fax: (772) 462-1578 C, mm-ercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address:
2=7 N W err► C .
Legal Description: HARBOR RIDGE - ROYAL FERN, RACT VA-3 LOT 15
Property Tax ID #: 4425-605-0029-000/3
Site Plan Name:
Project Name: STEINBERG RESIDENCE
Setbacks Front ZS• Z? Back: ZO.O I Rig i t Side: Z`�•0� LeftSide: �•`�°►
DETAILED DESCRIPTION OF. WORK:
NEW CBS SINGLE-FAMILY RESIDENCE 4 BED, 3 BATH, 3 CAR GARAGE
w
Lot No.15
Block No.
CONSTRUCTION INFORMATION:
itiona wor to je ne orme un er t is permit— check
F]HVAC Gas Tank ❑Gas iping
all
t=app y:
Shutters
a Windows/Doors
L_J
_
Electric 0 Plumbing
[]Spri klers
Generator
11 Roof 6�12 Roof pitch
Total Sq. Ft of Construction: 3791
S . Ft. of First Floor: 2750
�Sewer
Cost of Construction: $ 379,100.00
Utilities:
Septic
Building Height:
OWNER/LESSfE:STEINB'ERG LIVING TRUST
CONTRACTOR:
Name SbfF jLU-r016
Address: '456- S+J F1,0 mrn0t,V- Grl,615r1C 12 ,
Name: GR66 0LD'0V'6 ✓Stil'.' vZ05.
Company: 67t24,A06 C67v3rcwc.-r%a-J o-44' f" j WIL
City: 1�F°�-^'� %n/ Sta e: L-
Address: T-0° 3UY $807,9'
Zip Code: 34 g 9 a Fax:
City: -PS L- State: f L
Phone No. -'7 -2 m - %ZL/
Zip Code: 3q9 q a Fax: 7-72-)
E-Mail:
Phone No. -772) 33t6 -`7ZV0
E-Mail: CAP_6G 2 UR.o-Aos 'FL.4to?A .
Fill in fee simple Title Holder on next page (if di erent
from the Owner listed above) I
State or.County License: C4C- I SO 5-1 Z7
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
•SUPPLEMENTAL CONSTRUCTION LIEN L1N INFORMATION.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address: _806DELWAREAVE.
City: State: FL
Zip: 34950 Phone 772460-7751
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applica
Name: SAm6 0s 0wr-JG0-
Address:
City:
Zip: Phone:
le
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 Associa ion 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 N tice of Commencement may result in your paying
improvements to your property. A Notice of CoM, mencement must be recorded and posted on trF
before the first inspection. If you intend to obtai financing, consult with lender or an attorney bcommencing work or recording vour Notice o cement.
,fKg'nat#e of Owner/ Lessee/Contractor as Agent for e r
STATE OF FLORIDA 2 F�
COUNTY OF S•r'. Luc,16 rn�T
K SUE
The forgoing instrument was acknowledged before �;
this VfT-'' day of �° PQ Lc , 20 t�3 by � nm
A T
q� c DA1�311.JSlGI p1Z651 PG^� �^'
Name of person making statement ✓ -
Personally Known OR Produced Identification
Type of Identification
Produced �7 _ i
of Wofary Public- State of
Commission No. (Seal)
REVIEWS I FRONT ONING
COUTER I REVIEW I SUPEF REVI
RECEIVED
DATE
COMPLETED
Rev.8/2/17
Illy♦ 6
of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST • LVc.i
The forgoing instrument was acknowledged I
this Z?T9day of P Pft-I u- , 201S_
0 L fll�\Laws1C.1 � PAS 1 m NY -
Name of person making statement /
Personally Known OR Produced Identification 1/
Type of Identification
Produced r_ L_
(Signature of vry Public- State of Frorida )
Commission No.
(Seal)
R I PLANS REVIEW I VEGETATIEVI EON I SEATURTEV EWLE I M EVIEWVE