HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO UST B COM TED FOR APPLICATION TO BE ACCEPTED �.
Date: SCANNED Permit Number:
BY
St Lucie county
Building Permit Application
Planning and Development Services I
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 3498
Phone: (772) 462-1553 Fax: (772) 462I 1578 Commercial Residential XX
PERMIT APPLICATION FOR: Addition
PROPOSED I,MPROVEM'ENT LOCATIO,N,:
Address: 3354 NW Perimeter Rd. Palm 6y, FL 34990
Legal Description: WIDE WATERS S/D LO�S 26 & 27 (OR 1063-2822 : 1315-1683 : 1307-2473 : 1429-560)
Property Tax ID #: 4436-510-0030-000-6 Lot No. 26 & 27
Site Plan Name: I Block No.
Project Name: Johnson Residence Addition I
Setbacks Front 50' Back: 30' Right Side: 20' Left Side: 20'
DETAILED DESCRIPTION OF WORK -•"' _ .
Additions to existing home.
New construction of a Guest House cgnnected to the existing residence by a covered bridge and
Porte cochere. New septic system, new 1000 gallon LP gas tank and generator.
CONSTRUCTION INFORMATION
Additional work to be jet orme under t is plermit — c ec a app y:
-j�
HVAC LJ Gas Tank as Piping Shutters Windows/Doors L
Electric 0 Plumbing �S rinklers W1 Generator Roof
Total Sq. Ft of Construction: 5389 S Ft. of First Floor: 2433
Cost of Construction: $ 1,268,320 I Utilities: LJSewer W1Septic Building Height: 33'6"
I
OWNER/LESSEE: ;
. CONTRACTOR:
Name Patricia A. Johnson
Name: Paul L. Kleinfeld, Pres.
Address: PO Box 1826
Company: First Florida Development & Construction, Inc.
City: Palm City State: FL
Address: 200 NE Dixie Hwy
Zip Code: 34991 Fax,
City: Stuart State: FL
Phone No.
Zip Code: 34994 Fax: 772-692-2359
E-Mail:johnsonpw@aol.com
Phone No. 772-692-1387
Fill in fee simple Title Holder on next page ( if`diffelrent
E-Mail: admin@firstfloridainc.com
from the Owner listed above) I
State or County License: CGCA 20468
It Value of Construction Is:SZWU or more, a RECORDED Notice of Commencement is required. II
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:>
DESIGNER/ENGINEER: xx INot Applicable
MORTGAGE COMPANY: xx Not Applicable
Name: Brent A. Wood Architecture
Name:
Address: 20 SE Ocean Blvd. I
Address:
City: Stuart I State: FL
City: State:
Zip: 34994 Phone: 772-220-1217
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: xx INot Applicable
BONDING COMPANY: xx Not Applicable
Name:
Name:
Address:
Address:
City: I
City:
Zip: Phone: I
Zip: Phone:
I certify that no work or installation has c(
St. Lucie County makes no representation
which is in conflict with any applicable Hoi
structure. Please consult with your Home
In consideration of the granting of this req
in accordance with the approved plans, th
The following building permit applications
accessory structures, swimming pools, fen
WARNING TO OWNER: Your failure
improvements to your property. A
before the first inspection. If you in
commenciniz work or recordiniz vot
STATE OF FLORIDA //
COUNTY OF ,754-- it ac., r
imenced prior to the issuance of a permit.
iat is granting a permit will authorize the permit holder to build the subject structure
Owners Association rules, bylaws or and covenants that may restrict or prohibit such
,vners Association and review your deed for any restrictions which may apply.
2sted permit, I do hereby agree that I will, in all respects, perform the work
Florida Building Codes and St. Lucie County Amendments.
re exempt from undergoing a full concurrency review: room additions,
?s, walls, signs, screen rooms and accessory uses to another non-residential use
a Record a Notice of Commencement may result in your paying twice for
otice of Commence m t be recorded and posted on the jobsite
end to obtain fin ing, co ult with lender attorney before
Notice of Comme ceme . A / 1 t
The forgoing instrumen was acknowledgedl before me
this.?L day of 20/-5 by
ame of person acknowledging )
I
(Signature of Notary Public- Sate of Florida
/
Personally Known v OR Produced Ide
Type of Identification Pr
;o1p.0Poe`• Notary
Mq
Commission No. ® CyntI
as My c
11-1 .Oa' Expires (
Revised 07/15/2014
re of Contractor/License Holder
STATE OF FLORID
COUNTY OF /)
The forgoing instrument was acknowledged before me
this�I _day of 6zdig./ 20 L'V by
A"� Z. A�L.' '4zl
(Name of person acknowl ging )
(Signature of otary Publ
ic- St a of Florida )
Personally Known Produced Identification
Type of Identification Produced
tuning Commission No. o`,,4p4 NynttilauDlc( � f Florida
ion EE115937
>-612015 a My Commission EE115937
cvnires 0812612015
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
i({ll
INITIALS
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