HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONs _
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I Permit Number: q0
SCANNED r 7�
Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select t from dropbox, click arrow at the end of line ,Q,-,-_,
Address: `- r,��aL
Legal Description: REV PL OF FORT PIERCE SHORES -UNIT 5- BLK 28 LOT 5 (OR 4099-675)
Property Tax ID #: 1436-602-0010-000-3
Site Plan Name: Riccio Residence
Project Name: Riccio Residence
Setbacks Front- Back:
New Single family residence 2268 sq ft
Right Side: 0 ' Left Side: IR'
air/ 3 bed/ 3 bath 2 car garage
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Lot No. 5-
Block No. OE,
ry,
L;tJiVJ 1 KV(1 EL1\1t�1FUK11/1'H
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Additional work to a er orme under this pelrmit — check a t apply:
11HVAC Ei Gas Tank Gas Piping _ Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: 3,106 I S . Ft. of First Floor: 3,106
Cost of Construction: $ 255,000 I Utilities: Sewer Septic Building Height:
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Name
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Name:
Address: ?Dm i I
Company: Group
'SLp One Construction 11 r�, cl�}
Address: 1 1150� R)i�+ st e RINd �
City: �State: NJ
�1�y-
City:.Voa A I_Ud-e, State: FL
Zip Code: 07719 Fax: I
Phone No. Y I'„!. � 3.�-"�-ZCO �
Zip Code. 34952 Fax: 772-742-2901
E-Mail: dYY 1 c c ii o a11 . C YYI
Phone No. 772-742-2900
E-Mail: mikemiranda3074@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above) I
State or County License: CBC1250688
it value of construction is 57500 or more, a RECORDED, Notice of Commencement is required.
Coo 53
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DESIGNER/ENGINEER:
Not Applie
MORTGAGE COMPANY:
-_3ble Not Applicable
Names e
Name: N
Address: E2
I n ( .(�
Address:
City:; n-
State:
City:
State:
Zip: ` Phone"772_ 2Q3; \,S (p
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
_Not Applicable
Name: A
Name: M / A
Address:
I
Address:
City:
City:
Zip: Phone:
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 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 Ow ers 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 ermit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florid 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 intendjo obtain financing, co Suit wi h lender or an attorney before
commencing work or recorsfintz vourDK f"ce of Commencemer>`E. ��
Signature of O%hner/ Lessee/Contractor as Agentlfor Owner
STATE OF FLORIDA 1
COUNTY OF `c(-,, �� L\, C
The fo oing instrument was acknowledged before me
this day of MN\I 20A by
I n n I _ f`�f\
Name of person aking statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature 6 Not ry Public- State of FIQrida
:► "'! CRYSTAL ��j,SAW 1\AIOORE
Commission No. = MMISSftI GG066605
EXPIRES January 26, 2021
REVIEWS FRONT ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
ure of Contractor/License Holder
STATE OF FLO IDA
COUNTY OF , Q10i L u e
The f oing instrume t was acknowledged before me
this day of n al s 20�['& by
Michael M t irnryda,
Name of persog making statement
Personal) K�own V O Produced Identification
Type of der}tification
Produckd ) r A
mature of`No//ta�^ryy�iP-6lic-State of FI
Commission No.000Scl `Uy
ri ). NICOLE ELL
r°ry° MY COMMISSION
EXPIRES: APR
Bonded through 1st f
JPERVISOR PLANS I VEGETATION I SEA TURTLE I MANGROVE
REAEW I REVIEW REVIEW REVIEW REVIEW
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