HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONkLL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
D�te: P em A11� `1`� Permit Number: �� d�
• y RECEIVED
i Building Permit Application SEP 18 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED fMPROVEMENT LOCATION: `Y
Address: Oleander Ave, Ft Pierce, FL 34982 '611Q 0 LGf�tiJ,O
09 36 40 S 1/2 of SE 1/4 of NE 1/4 of NE 1/4- Less S 165 ft of E297 ft- 3.78 ac OR 3520-2768
Legal Description: ( ) ( )
SCANNED
Property Tax ID #: 3409-1141-0�004-000-2
Site Plan Name: Ltb��v l ��
Project Name: Cu
Setbacks Front Ml0 Back I`3S• 5'c Right Side) I Left Side.)
DET; ILED DESCRIPTIONS OF WORK: "
truction single family residence/CBS Construction/single story
r
Lot No._
Block No.
`CONSTRUCTION .LNfORIVIATION: -
itiona workto e e orme un er t is ermit — c ec a a p p y:
❑✓O
IHVAC Gas Tank I�Gas Piping _ Shutters Q Windows/Doors
(Electric Z Plumbing Sprinklers [i Generator W1 Roof 6 2 Roof pitch
Total Siq. Ft of Construction: 5001 S . Ft. of First Floor:
Cost of Construction: $—� GbT%�Utilities:� Sewer W1 Septic Building Height: single story
I
OUVN,ER/LESSEE.; -"
;CONTRACTOR:
Name Nicholas & Heather Tubito
Name: Cathy Telese
Address: 896 Woodlands Dr
City: Plort St Lucie State: FL
Company: Telese Builders LLC
Address: 8060 Spendthrift Lane
Zip Code: 34952 Fax: 772-465-9418
Phone No. 772-201-7162
City: Port St Lucie State: FL
Zip Code: 34986 Fax: 772-465-6261
E-Mail heather@tubitopainting.com
Phone No. 772-260-4890
E-Mail: catrene@bellsouth.net
State or County License: CGC1522154
Fill in fete simple Title Holder on next page ( if different
from thle Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
l
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
I
N a I I It::. Steve LiCausi Design Group, Inc
MORTGAGE COMPANY: Not Applicable
—
N am e: Centerstate Bank NA
Address: P O Box 9602
Add ress: 10710 SW Westlawn Blvd
City: PortSt Lucie State: FL
Zip: 34987 P h o n e 772-785-6465
City: winter Haven State: FL
Zip: 33883 Phone:: (772) 446-8770
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Address: 8060 Spendthrift Lane
City:
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 accordance 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 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
commencing work or recording our Notice of Commencement.
I
Signature of caner/ Lessee/Contractor as Agent for Owner
Signature of ontractor/License Holder
STATE OF FLORIDA
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STATE OF FLORIDAe—)T-,O
COUNTY OF r ,
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this _C L day of 20by
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this day of fZG 20by
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ommission# GG 57808
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GG 57808
My comm: expires D . -2, 2020
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Commission No. (Seal )
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