HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL AIPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date II: 8/23/2018 Permit Number:
FAUG
IVED
lU
��__ Building Permit Application 201�
Planking and Development Services
Building and Code Regulation Division nty, Permitting
2300, Virginia Avenue, Fort Pierce FL 34982
Pho e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
11
PER
IT APPLICATION FOR: Building
PRO,
OSED IMPROVEMENT LOCATION: -
s: Addr
4701 BUCHANAN DR. FT PIERCE FL 34982 j v° i yr V
Legal !; escription: LOT 8, BLOBK 38, INDIAN RIVER ESTATES - UNIT 4
Prope1ty Tax ID #: 3402-605-0122-000/1 ®IVY Lot No. 8
III
Site Plan Name: �'' Block No. 38
Projeitl Name: RIGUAL RESIDENCE
Setbacks Front 70.'),j Back: 88.1.1 Right Side: 31; ga. LeftSide:
I'I
DET ,TILED DESCRIPTION OF WORK:
NEW118INGLE-FAMILY RESIDENCE; 3 BEDROOMS, 2 BATHS + DEN w/ 2-CAR GARAGE.
CONSTRUCTION INFORMATION:
Additional work to be oertormed under this permit— check all apply:
I JVAC L _J Gas Tank
Ev"Electric 0 Plumbing
Total Sq. Ft of Construction: 3008
Cost olll'.l Construction: $
206,048.00
❑Gas Piping _ Shutters Q Windows/Doors
Sprinklers F]Generator Z Roof 6/12 Roof pitch
S . Ft. of First Floor: 2092 A/C & 916 non -living
Utilities:1n Sewer 7 Septic Building Height: 15'
OWN
ER/LESSEE:
CONTRACTOR:
Nam
ROBERTO RIGUAL
Name: GREG OLDAKOWSKI, PRESIDENT
Addre
Company: GRANDE CONSTRUCTION OF FL.,&,INC.
�s: 6008 PALM DR
T PIERCE State: FL
—
34982 Fax:
Address: PO BOX 881765
City: PORT ST LUCIE State: FL
City:
Y
Zip Code:
Phone
E-Marl}:
No.'772-336-724'D
Zip Code: 34988 Fax:
Phone No. 772-336-7240
N/P
ee simple Title Holder on next page (if different
the Owner listed above)
Fill in i
from
E-Mail: GREG@GRANDEFL.COM
State or County License: CGC1505127
II If valu ' of construction is $2500 or more, a RECORDED Notice of Commencement is required. II
i
'-SUPPLEMENTAL
CONSTRUCTION LIEN LAW INFORMATION:
DESgGNER/ENGINEER:
NanII)e:
Address:
City:
Zip: ��
III
_ Not Applicable
14a4, i ►tecrurJ1c_
MORTGAGE COMPANY: _ Not Applicable
Name:
fob 1>1;%_AvJPe-4 pw
Address:
City: State:
Zip: Phone:
1='r
III • 'PI, 6Z' r State
3 9 so Phone '71Z - 96o — 27S' i
FEE
Ilil
NaIe:
Add
City'
Zip:
II
SIMPLE TITLE HOLDER: _ Not Applicable
( 0,-J nhi2. )
BONDING COMPANY: ✓Not Applicable
Name:
less:
Address:
City:
J
'I 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. Luc I� County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which i in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structu e. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In cons' eration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in aced ;dance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. .
The fol owing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessolry 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
impro�Vements 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 vo_ur Notice of Commencement.
TIZ s, '� Fn;s.
of Owner/ Lessee/Contractor as Agent for Owner ign#ure of Contractor/License older
STATE OF FLORIDA
COUNTYOF S-r• ���►b
The fo};joing instrument was acknowledged before me
this 2, _Uday of °u 4 v s r , 20 /a by
C, lip 6L 01.17J-V'r ►SL' 1 � f 05 •
Name of person making statement
Perso ally Known OR Produced Identification
Type 6f Identification
Produced `S -- L b L
re of Notary PubR- State of Florida )
Com
�ission No.
•• y vus
9. A
REV�WS
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FRONT .�
COLINTE
ffi
DATE;
RECEI,
ED
DATEIJ11
COM
,,LETED
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Rev. 8/J'%17
MpRIEGIGO,
072 3
D MISSION 16 ?
MY DeceT.�a,undens'
STATE OF FLORIDA
COUNTY OF Cr •
The forgoing instrument was acknowledged before me
thisZ3ydayof o0U & 11 s r , 20L by
6-,11.v 4 0L'DP1_6WS)e) , e"s
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced S} . * L 0 Lr
(Signature of Notary Public- State
° NAMARIE rlvSNs z�
.ommission a
ro Q t�11SS10N # 2�
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