HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
te: JULY 11, 2018J� ��1���® Permit Number:
. 29-1
BY
i•� — t , Ludle county
• RECEIVED
Building Permit Application
nning and Development Services
JUL 1 20)8
Ming and Code Regulation Division ST. Lucie Gownty, Permitting I
)0 Virginia Avenue, Fort Pierce FL 34982 one: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
P
ii'llRMITAPPLICATION FOR: Building
PROPOSED
IIVIPROVEMENT,LOCATIq .;.
ress: T. 5 -n. � ZG
Ial Description: LOT 53 - TREASURE COAST AIRPARK PLAT BOOK 26, PAGE 18
II pe rty Tax I D #: 4224-501-0053-000/4
Plan Name: LOT 53 - LEAR PL.
ject Name: LEWIS RESIDENCE
�I backs Front 138, _ Back: 165'
Right Side: 95' Left Side: 164' 1 3$,
Lot No. 53
Block No.
DTAILED DESCRIPTION OF:WORK ,
NOW SINGLE-FAMILY RESIDENCE: 3 BED, 2 BATH, 2 CAR GARAGE
C NSTRUCTIQN IN.FORMATLON
Additional work to e e orme un ert ispermit—checka apply:
211]HVAC fi Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
I;Z Electric 0 Plumbing Sprinklers Generator Roof 5/12 Roof pitch
T
I Sq. Ft of Construction: 2370 - TOTAL S . Ft. of First Floor: 2370
of Construction: $ 189,600.00 Utilities:Sewer 7Septic
Building Height: 16'
O
, ,NER/LESSEE
CONTRACTOR:
N
a I>AviD 4 L,ovlzA LGW15
Name: G26G 0L-Dok6145kI, p'Us,
A !i
Company: GRANDE CONSTRUCTION OF FL. INC
ress: SZ?D( PUGASP-JT VIEV-) P—n ,
Ci
PL6ASP-rr Vi gv'l State: TAI
Address: P•o • 13oX W 76S.
Zia
I.
S-71 ' � Fax:
City: Pot_r Sr . Lvu 6 State: FL
Phbne
IIiCode:
No. 7-72, - 3 3 6- 72q O
Zip Code: 34988 Fax: 772-785-8860
EiIi,
ail: 6P-6LzC 6rzo-jv6(k."^
Phone No. 772-336-7240
I in fee simple Title Holder on next page (if different
Fil
E-Mail: GREG GRANDEFL.COM
fr
the Owner listed above)
r
State or County License: CGC 1505127
If Vlalue of construction is $2500 or more, a RECORDED Notice of Commencement is required.
ON
S�JPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATI;I
F k =3
NER/ENGINEER: _ Not App
Name: Va2cN IT6c�T6n1IL
Adress: 80e, DSL.AwpM AW
C_�y: P-r . 91-6 s State: _
ZpV 3g95-o Phone -77z-HGd-77ri
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
E SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY:
Name: SAY-6 ,os o,v..nsrt_ Name:_
A�0 dress: Address:
C, y: City:_
Z b: Phone: Zip:
Phone:
_ Not Applicable
State:
Not Applicable
0 NER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I c . ify that no work or installation has commenced prior to the issuance of a permit.
St. ucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
wh ch is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
stru1cture. 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.
Th�';�following building permit applications are exempt from undergoing a full concurrency review: room additions,
ace ssory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WbRNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
im rovements to your property. A Notice of Commencement must be recorded and posted on the jobsite
be ,ore the first inspection. If you intend to obtain financing, consult with lender or an attorney before
co �'� mencing work or recording vour Notice of Commencement.
" nat re of Owner/ Lessee/Contractor as Agent for Owner
Sfgn&re of Contractor/License Holder
SI,
ATE OF FLORIDA
STATE OF FLORIDA
G
UNTY OF STLUCIE
COUNTY OF STLUCIE
T
e forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
t
1s 11 day of JULv 120_ by
this » day of DULY , 20_ by
REG OLDAKOWSKI, PRES.
GREG OLDAKOWSKI, PRES
Name of persr making statement
Name of pers n making statement
PI
rsonally Known ✓ OR Produced Identification
Personally Known OR Produced Identification
TIpe
of Identification
Type of Identification
Pi
induced
Produced
Ocppsawv [
(
ignatu of Nota Public -State of Florida)
natur f Notary - State of Florida
(Sig ry
C
\1111//
mmission KAREN S. f�Slel31$EN
�� .
Commission No. ; o,P °a-- KAREf
,���YP�B,,
lorida-Notary Public
=• •= Commission # GG 207484
_. +__ tare of Fioriol IELSEN
":,; or Comrn;ss; a'Notary Public
�'�EOF,�o�P•' My Commission Expires
P on
Oil. MY Co # GG 207
June i2,
1WR
REVIEWS
FRONT
Z0N N
VISOR
PLANS
VEGETATION
SEA
II
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DTE
19
R CEIVED
DATE
COMPLETED
8/2/17