HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED.
Date: Z - Qle • h:7 Permit Number: /y /may- V
RECEIVE
WINNOWBuilding Permit Application u
Planning and Development Services LIAR 2 6 2015
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: Building -IED
PROPOSED INPROVEMENT LOCATION: �,� R „ WT,
Address: 3009 NW Radcliffe Way pe m C1 t u 3 9 D
Legal Description: Riverbend Plat Book 67 Page 36 City of Port St. Lucie, St. Lucie County,, Florida
erty Tax ID #: 4425-703-0050-000-0
Lot No.45
Site Plan Name: Riverbend Block No.
Project Name: Riverbend k
Setbacks Front 40.00 Back: 72.76 Right Side: 13.05 Left Sid.,
DETAILED DESCRIPTION OF WORK:
New Construction-SFR Model-6510 Elevation D Garage R
CONSTRUCTION INFORMATION: III
Additional work to lie nertormed under this permit — check all t1lat apply:
HVAC I _1 Gas Tank -]Gas Piping _Shutters a Windows/Doors
Electric Plumbing ❑Sprinklers ❑ Generator W1 Roof
Total Sq. Ft of Construction: 3638 S . Ft. of First Floor: � 9 1 6z
Cost of Construction: $ 373,000.00 Utilities: Sewer ❑ 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
Address: 825 Coral Ridge Drive T -.
Zip ode: 33071 Fax: 954-434-8840
City: Coral Springs State: FL
Phone No. 954-232-2290
Zip Code: 33071 Fax: 954-434-8840
E-Mail: Permits 9 brownsperm itting.com
Phone No. 954-232-2290
Fill in fee simple Title Holder on next page (if different
E-Mail: Permits @browns Permittin 9•com
from the Owner listed above)
State or County License: CBCA17970
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
, . J'.,
CERTIFICATION:
This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity,
if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
may be rIequired for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS,
AND AIK CONDITIONERS, FENCES, ETC., not otherwise included with this building permit application.
St. Luciel County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure
which is lin conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit s uch
structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory
structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non -
residential use.
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 YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO
ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
At,
v
OR C NTRACTOR SIGNATURE CONTRACTOR SIGNATME
STATE
OF FLORIDA STATE OF FLORIDA
COUNTY
OF Broward COUNTY OF Broward
before The foregoing instrument was acknowledged before
The foregoing
instrument was acknowledged
me this
day off !i^C6 200 S me this loth day of February 920 15 ,
by
rI
^
r J yl ��c +' 1q&—f eTZ Cep$ by Richard Woodley Manning
who is personall
nown _X or has produced who is personally known X or has produced
as identification. as identification.
BROWNSignature
of NotarNovember 4, 2018 Signature o140607
f Notary ;1"°r SSELIN
MY COMMISSION N EE 224 3:
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Tr Fain Insurance 80N85-7079° •, owe EXPIRES: August 14, 20 6
Commission
No. ea Commission No. EE 224735;P , ' al onded?hru Notary Public Unde ri
NOTE:
TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
'HIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN
'HIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS.
For specific instruc ' ns see appropriate permit checklist.
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