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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL Da CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED EE /�(� Permit Number: I Q9. ©nql RECENED Building Permit Application `pP 052010 �e, muting Department Planning and Development Services fit. Lucie County Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578- Commercial Residential X PERMIT APPLICATION FOR: PR,nPOSED IMP,ROIEM,ENT IQCATCN, Address: 5144 Cherry Palm Way, :-L�i2, FL �%+�-�' i`�id�Z �j��q Legal Description: River Branch Estates Lot 3 (0.50 AC) (OR 4096-1909) Property Tax ID #: 3404-809-0007-000-1 Lot No. 9W, Lawson Residence _ cl o`v Site Plan Name: Block No. L� ^, Project Name: Lawson Residence Setbacks Front. Back: Right Side: Left Side:, I °2 Jv New Residential Construction vv m C4'NSTRUCTIC)N INFORMATION ... �. Ad rtiona ❑✓ wor to a er HVAC Ei orme under this permit — c ec a apply: Q Gas Tank Gas Piping Shutters Windows/Doors ❑✓— ❑✓ []Sprinklers FI W1 Electric Plumbing Generator Roof Roof pitch Total S,q. Ft of Construction: -2�� �- I (P, S . Ft. of First Floor: 2,100 Cost of Construction: $ —2$�' y/��SI`�,�d Utilities: Sewer []Septic Building Height: 011VNER/LESEE;,%k ; CONT;RACTO€� „ Name V Ads:I Name: Mike Miranda Company: Group One Construction & Development City: �r State-;__` Address: 10993 US 1 Zip Code:' Fax: ,r, City: Port St. Lucie )State. FL Phone No. Zip Code: 34952 Fax: 772-742-2901 E-Mail: Phone No. 772-742-2900 Fill in fee simple Title Holder on next page if different aol.com E-Mail: mikemiranda3074@aol.com from tie Owner listed above) State or County License: CBC1250688 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. EMENTA ,C S ,, W/I�1 ,,,. /, ,,. ,..., ., , , . ,,,//„ , /,. ,//, T, O ,,, ; ,,/ i , /,, .. / DESIGK INEE : Name. N' t pplicable MORTGAGE Name: MPANY: Not Applicable -N/A Addr ,Address: City: State: Cit mate. Zip Phone l5l.' Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: _ Name: Address: City: Address: City: i 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 accoridance 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 Noti improvements to your property. A Notice of Comrr before the first inspection. If you intend to obtain__ � commencine work or recording vouc Notice of Ca SignAra e of Owner/ Lessee/Contractor as Agent for Owner STATE OF FL COUNTY OF , The f6rgoing ins ent was acknowleded before me this C day of 21_ by Name of pers n making statement Personally Known OR Produced Identification Type 'of Identification Produced (Signature of Nota s $t;QLM31716WA)WN MOORE M MY COMMISSION # GG066605 Commission No. EXPIRES (I Ury 26.2021 :e of Commencement may result in your paying twice for Vicement must be recorded and posted on the jobsite nancing, consult with lender or an attg�rney before mencement. '_? Signaturd'of'Contractor/License Holder STATE OF I'l-Offililk COUNTY OF Theo oirig ins r en was acknowled before me this day of 20by Name of pers n making statement Personally Known OR Produced Identification Type of Identification Produced (Signatur ottpp ryt'A Ar $ RE Commissi MY COMMISSION # GC�5 t January 26, 2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev