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
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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
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REVIEW
REVIEW
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DATE
RECEIVED
DATE
COMPLETED