HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 12-2-15ALL APPLICABWWI 119 MUST BE COMPLETIROAN LiCATION TO BEACCEPTED
Date:. t♦ a 1 $t LU B �g�R� Permit Number: I a dd aS
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a� DEC 0 2 2015����
RECEI.:D
Db%uilding Permit Application
Planning and Development Services5
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 I1V
Phone: (772) 462-1553 Fax: (772) 462-1578' .COmm rcial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line S
Address: 3915 Duneside Drive
Legal Description: Tarpon Flats Subdivision PB - 69-27
Property Tax ID #: 1423-566-0026-000-9
Site Plan Name: Tarpon Flats LLC lot 23
Project Name: Tarpon Flats LLC lot 23
Setbacks Fronts 1 Back: 1_ %�_Right Side:
Single Family Res. - 4 Bedrooms and 3 bath
9
Left Side:
Lot No. 23
Block No.
Additional worKto be errormed unaertnis permit— cnecK al apply: f
11HVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors L
FlElectric 0 Plumbing Sprinklers El Generator .I Roof
Total Sq. Ft of Construction: 2696 Sq. Ft. of.First Floor: 1976
Cost of Construction: $ 312,736.00 . Utilities: i Sewer O Septic Building Height:
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OWNER%LESSEE`f :�_ hf s��
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CONI-RCTOR4
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Name Tarpon Flats LLC
Nalme• Alan Tarpell
Address: 277 Royal Poincianna Way
Company: Phoenix Realty Homes, Inc.
City: Palm Beach State: FL
Address: 1760 N Jog Road Suite 120
Zip Code: 33480 Fax:
City: West Palm Beach State: FL
Phone No. 561 833-5500
ZiplCode: 33411 Fax:
E-Mail. kristina@heatoncompanies.com
Phone -No. 561-799-5900
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: fran@phoenixcompaniesfl.com
Stale or County License: CGC-058625
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMEN''�AL 'ONSTRUCTIC�NSLIEAV- lAU1�INEQ
- ""sue 2
tMATION
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name: stoat
Name: N/A
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:
I certify that no work or installation has comm en ced. 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 ules, 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 finar}cing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
_Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF . l �
Theffbr oing inst Ent was �6knowledged before me
this,% day of . �)� ' 20 _by
(Name of person acknowledgifg
re of Notary Public- State of Florida )
Personally Known � OR Produced Identification
Type of Identification Produced
Commission No. " CESDONZA
MY COMMISSION N FF 014070
I Bonded Thru Notary
Revised 07/15/2014
ptgnature or contractor/license Hoioer
STATE OF
COUNTY OF ORIDA'pMal AUd
The f rgoing instr jt was ack Iowledged before me
this o. ; 20 by
'Amu-11 , Mmn/A_�
(Name of person acknowledging)
(Signature Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Pr' u
ti
W COJuIMISS ON # FF 014070
Commission No. /' EXFU�@lI�uly 27, 2017
8andadThNNoleryPu6licUndanvrlars
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
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REVIEW
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DATE
COMPLETE,I
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INITIALS
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