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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c� Date: Permit N�jrr�lse�iVi�_q I —0 1 V L; JAiI Z 5 2016 C Building Permit Application MI C Planning and Development Services �3 Building and Code Regulation DivisiE� on l �/ L„ 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Building PROPOSED INPROVEMENT LOCATION: Address: 3061 NW Radcliffe Way Legal Description: Riverbend Plat Book 67 Page 36 City of Port St. Lucie, St. Lucie County, Florida Property Tax ID #: 4425-703-0044-000-5 Site Plan Name: Riverbend Project Name: Riverbend Setbacks Front 40.00 Back: 136.60 Right Side: 28.78 Left Side: 28.65 Lot No. 39 Block No. I DETAILED DESCRIPTION OF WORK: I New Construction-SFR aa. 3e_5 3 cove, Model 6510-B/R Haamonai worK to De erwrmea unaer tnis permit— cnecK all vial apply: ZHVAC _ Gas Tank ❑Gas Piping _ Shutters Windows/Doors ✓❑] Electric 0 Plumbin Sprinklers E Generator a Roof Total Sq. Ft of Construction: � �yh�' / S . Ft. of First Floor: Cost of Construction: $ 310,000.00 Utilities:[]Sewer W1 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Standard Pacific of South Florida Name: Richard Manning Woodley Address: 825 Coral Ridge Drive Company: Standard Pacific of South FI GP, Inc. City: Coral Springs State: FL Zip Code: 33071 Fax: 954-434-8840 Phone No. 954-232-2290 Address: 825 Coral Ridge Drive City: Coral Springs State: FL Zip Code: 33071 Fax: 954-434-8840 Phone No. 954-232-2290 E-Mail: Permits@brownspermitting.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: Permits@brownspe'rmitting.com State or County License: CBCA17970 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTLON UEN LW'INFORMATION`: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: City: Zip: Phone: 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 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 y ur property. A Notice of Commencement must be recorded and posted on the jobsite before the first inypection. If you intend to obtain financing, consult with lender or an attorney before commencing workloPfeWirdina vour Notice of Commencement. Signature of Owne gent/ Lessee STATE OF FLORIDA COUNTY OF Broward The forgoing instrument was acknowled gd before me s this lday of SO,/ 20LLg by Michael Metzkes (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known X OR Produced Identification Type of Identification Produced Commission No. ' 53 Revised 07/15/2014 Signature of Contra cto License Holder STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this�"1c& of 6, 20Z6y Richard Manning Wcodley (Name of person acknowledging) (Signa ure of Nota Public- St a of Florida ) Personally Known X OR Produced Identification Tvoe of Identification Produced DIVAN SHACHA �t•; �AC.GOSSEUN eal Com fission No. MY COMMISSION #FFO 7026 I _ MISSION#EF,11473°, •. as EXPIRES: August 14, 2016 PXPIIdF,Anrll10.20 7 %'Poc'c�9` Bonded ThniNotarvPuhlleNndnnurit REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE. RECEIVED DATE / COMPLETED G(� ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 1601-0339 . Building 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 PERMIT APPLICATION FOR: Building PROPOSED INPROVEMENT LOCATION: Commercial Residential X Address: 3061 NW Radcliffe Way Legal Description: Riverbend Plat Book 67 Page 36 City of Port St. Lucie, St. Lucie County, Florida Property Tax ID #: 4425-703-0044-000-5 Lot No. 39 Site Plan Name: Riverbend Block No. Project Name. Riverbend Setbacks Front Back: Right Side: Left Side: 0I DETAILED DESCRIPTION OF WORK: New Construction-SFR ' Change of Qaulifier CONSTRUCTION INFORMATION: Additional work to be nertormed under this permit —check all apply: ZHVAC L_J Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors Electric 0 Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction: $ UtilitiesInSewer W1Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Standard Pacific of South Florida Name: Scott Harala Company: Standard Pacific of South FI GP, Inc. Address: 825 Coral Ridge Drive - City: Coral Springs State: FL Zip Code: 33071 Fax: 954-434-8840 Phone No. 954-232-2290 Address: 825 Coral Ridge Drive City: Coral Springs State: FL Zip Code: 33071 Fax: 954-434-8840 Phone No. 954-232-2290 E-Mail: Permits@brownspermitting.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: Permits@brownspermitting.com State or County License. CGC1506052 IT value of construction is SZ500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION. LIEN LAW INFORMATIO:N'. , DESIGNER/ENGINEER: _ Not Applicable ;:' Name: Address: :MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: Zip: Phone: 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 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 financing, consult with lender or an attorney before commencing work or recording vour Notice of Commencement. UVE �HA Signature of Owner/ Agent Lessee Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF Broward The forgoing instrument was acknowledged before me this 5 day of May 20by Scott Harala (Name of person acknowled in (Signature of Notary Public- State of Florida ) Personally Known x Type of Identification P Commission No. Revised 07/15/2014 OR Produced Identification STATE OF FLORIDA COUNTY OF Broward The forgoing instrument was acknowledged before me this 5 day of May ,20=1by Scott Harala (Name of perso ROWN Commission # FF 140607 Expires November4, 2018 (Signature of N - Personally Known x OR Produced Identification Type of Identification Produced Co is on # FF 140607 Commission No. Ex ovember 4, 2018 Bonded Thru Troy Palm Insurance 800388•7019 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED