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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR Date: • ST, Lu �.... Planning and Development Services SY Building and Code Regulation Division, ,, 9de 2300 Virginia Avenue, Fort Pierce FL7 Phone: (772) 462-1553 Fax: (772) 462-1578 Wo"ILICATION TO BE ACCEPTED I r tE 'EIVED p rmit Number. �Vs � 0 1AY 10 2018 lecaHnl:y, Permitting ICAREN S. NIELSEN • ��pYPU�o Publl �Permi icatio ,=a�P ��state ofFlorida-Nota207484 Commission.# GG fires s`= MY Commission ExP %;fFOFa���`� June 12, 20?•2 ty Commercial Residential X PERMIT APPLICATION FOR: Building �( PROPO,S'ED IMPROVEMENT E3 Address:, Legal Description: Parcel of land lying within govern Property Tax ID #: 252934300030102 Site Plan Name: Project Name: LANDERS RESIDENCE Setbacks Fronts ' �±S _,�Qk: A Y-T 70 S. © c'�a 12/Z .0 Fe Rr Plap—(I 3 c-t9 I Lot 4, section 29, Township 35 south, range 41 east, St. Lucie County Florida. I ,_ Side: Left Side: � �:c, Lot No. Block No. CONTRUCTION OF A SINGLE. FAMILY REISIDENCE CONSISTING OF 4 BEDROOMS NIJW PATHS o 2 Sr�%zY ovE'/2 A .4ro/-'- //,4oi1-2�131-E L©wrz2 Fzoolo e CONSTRUCTION INIF RMATION:­ Additional work to eener orme under this perm �t — check a apply: ZHVAC LJ Gas Tank Gas P'ping Shutters Windows/Doors ❑� _a ❑✓_ Electric 0 Plumbing Sprinklers Generator Roof 5 12 Roof pitch Total Sq. Ft of Construction: 9570 S . FtFt. of First Floor: 4002 Cost of Construction: $ 1,656,680 Utilities: ZSewer Septic Building Height: 32'-10" OUVNERLESSEE .: _: CONTRACTOR:' Name Gwendolyn Landers FL I 1 Name: Mario Arbucci Company: Coastal Construction and Design, Inc. Address: 2720 SW 117th Ave City: Davie State) Address: 235 NE Abaca Way Zip Code: 33330 Fax, Phone No. 954 474-0936 E-Mail:landersg31@aol.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) City: Jensen Beach State: FL Zip Code: 34957 Fax: Phone No. 772 260-7514 E-Mail: marbucci@comcast.net State or County License: CRC013539 It value of construction is 52500 or more, a RECORDED Nlotice of Commencement is required. I t - SUPPLE:MENTAL CONSTRUCTION, LIEN LAW INFORMATION DESIGNER/ENGINEER: — Not Applicable MORTGAGE COMPANY: Not Applicable N a me: James Bushouse Name: Address: 1650 N Andrews Ave I Address: City: Pompano Beach State: FO City: State: Zip: 33059 Phone 954956-2203 T- I Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: I Address: City: City: Zip: Phone: Zip: Phone: I ereby made to obtain a permit to do the work and installation as indicated. OWNER/ CONTRACTOR AFFIDVIT: Application is h 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 is in Home Owners Association bylaws which conflict with any applicable rules, 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 Buildiing 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 NI otice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded Ond posted on the jobsite before the first inspection. If you intend to obtain financing, consult lende or an attorney before commencing work or recorcift your Notice of Commencement. (') , �(w a,�Q (64 -1�le n- hlfbfiglof Owner/ Le e/C ntractor as Agent for Owner Signature ct Contr or/License Holder ST E OF FLORID UNTY OF STATE OF FLORIDA COUNTY OF The for oing instrument was acknowledge efore me day 20by The for oing instrume t was acknowledge efore me this Z day V 20by this of of r Name of p rson making statement / Name of person making statement / ✓ Personally Known OR Produced Identification Personally Known OR Produced Identification ✓ Type Type of [dent' w Prod Produced �, L I 4-- ^ � V (Sig ature of of State of Florida ) Signublic- State of Florida) Commission ^N S. EN poiaar n�•� �`�� Commission No. _ oRFN S ,�1PaYP�e,, ra° -State of Florida -Notary Public =� *= Commission N %'F �, ;> corn i Siorida-Not", N ''�°���I°+ T scion tart # GG 207484 N P Con, # GG ub/ic Juno 12, 2022 "�� p? Orr, kpire 4 REVIEWS VISOR PLANS VEGETATION SEA 2MAsNG OVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17