HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -
Dat�j: JULY 11, 2018 SCAN 190 Permit Number: 1
BY
St. Lucie Count
RECEIVE;::
Building Permit Application I
ing and Development Services J U L I I C'
ng and Code Regulation Division ST. Lucie County, Permitting
Virginia Avenue, Fort Pierce F134982 _
e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PER}
IT APPLICATION FOR: Building
P;RO,POSED
IMPROVEMENT LOCATION:,
Address: 3` 09 .S6N'j'P)IJ6 Di,, FT.Pibnc.s
Lega IDescription:.MONTE CARLO COUNTRY CLUB -UNIT 1, LOTS 23 & 24 ;
Prop6rty Tax ID #: 1327-801-0027-000/1
11
Site Ian Name:
Prni ct Name. DENMON RESIDENCE
Set lacks Front 55' Back: 33' Right Side: 73' Left Side: 73'
DET,1AILED DESCRIPTION OF WORK:
NEVV SINGLE-FAMILY RESIDENCE: 3 BED+ DEN, 4 1/2 BATH, 5 CAR GARAGE
Lot No. 23 & 24
Block No.
CONSTRUCTION INFORMATION:
Additional work to je ne orme under this permit -check a apply:
V HVAC LJ Gas Tank ❑Gas Piping Shutters a Windows/Doors
ZElectric ❑✓_ Plumbing Sprinklers ElGenerator E]Roof 6/12 Roof pitch
T
Sq. Ft of Construction: 3734 - A/C
of Construction: $ 494,850.00
S . Ft. of First Floor: 6598 - TOTAL
UtilitiesSewer Septic Building Height: 22'
O.WN,ER/LESSEE:
'CONTRACTOR:
Na
I e R«� tp ¢,fl SIJ 6�n.,rt.� b6N mod
Name: G�L� O L C>,O .Q "'Sk-1 , piu., ,
ress: 3g0-7 131Nr P1Ns D►z•
1: F-r � Pis -x-G State: FL-
Ad
Cit
Company: GRANDE CONSTRUCTION OF FL. INC
Address: 'P•o • 3ziX M71o�
Zi
li Code: Fax:
City: " S-Y' L^'A5 State: FL
Ph
ne No. Z " 3 3 6 - 7u-t d
Zip Code: 34988 Fax: 772-785-8860
E-
ail:
Phone No. 772-336-7240
in fee simple Title Holder on next page (if different
Fil
E-Mail: GREG@GRANDEFL.COM
fr
the Owner listed above)
State or County License: CGC 1505127
f
If Value of construction is $2500 or more, a RECORDED Notice of commencement is requirea.
SU?LEMENTAL CONSTRUCTIOWL'IEN LAW INFORMATION:
DES
Na Ile:
Address:
City
Zip:
GNER/ENGINEER: _ Not Applicable
Ad-cW
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
$a(D
, F—r - IPf 6YL.c,6 State:
3g(g Sa Phone
I
FEE
Name:
Address:
City'
Zip:
SIMPLE TITLE HOLDER: _ Not Applicable
S e mG os o-s4"- —
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Phone:
I
Zip: Phone:
OWER/ 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. Lu ie 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
struct 're. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consIideration 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 fc lowing building permit applications are exempt from undergoing a full concurrency review: room additions,
acces�pry 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
com; encing work or recording our Notice of Commencement.
n
re of owner/ Lessee/Contractor as Agent for Owner
8rgnAure of Contractor/License Holder
STAITE
OF FLORIDA
STATE OF FLORIDA
COI
NTY OF ST LUCIE
COUNTY OF STLUCIE
The
forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this
l[01-DAKOWSKI, day of JuLY , 20_ by
this » day of JuLy , 20_ by
GR
PRES.
GREG OLDAKOWSKI, PRES
Name of per n making statement
Name of per n making statement
Per.
I nally Known OR Produced Identification
Personally Known OR Produced Identification
Type
of Identification
Type of Identification
:Pro
I
cs�
Produced
(Signature of Notary P E g S. NI ELSEN
o_ ate Of Florid, -Notary
(Sig' ture of Notary Public- State of Florida
Corymission No. KAREtt�I)NIELSEN
'= Commi 20 Public
Commission No. Fo o;o' M10n1 GG 207484
y CO �^ Ion Expires
ate of Florida -Notary Public
Corrimission # GG 207484
��
une 122022
N1y Commission Expires
RTT'
RE
IEWS
FZONING
SUPERVISOR
PLAN
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVI
REVIEW
REVIEW
REVIEW
DA
iE
RE
EIVED
DA
IE
g 76l&
COMPLETED
Rev. $%2/17