HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONIV' -
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) �]
Date:9-28-2018 Permit Number:
RECEIVED
Building Permit Application Nov o•7 'nie
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County
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 IMPROVEMENT LOCAT_ ION:
SOMNED
AddressI:
5713 Myrtle Dr �l �!
Legal Description: INDIAN RIVER ESTATES -UNIT 08- BLK 60 LOT 29 St LUCI@ COU11tyy
Proper Iy Tax ID #: 3402-609-0307-000-4
Site Plan Name:
Project Name: ✓
Setbacks Front39.14' Back:33.86'
DETAIILED DESCRIPTION OF W9RK
New CBS constructed home 5-3-2 0
Right Side: 10.00,
Left Side: 10.00,
Lot No.29
Block No. 60
CONSTRUCTION 'INFORMATION:
Maitional work to e performed under this permit —check all apply:
RIHVAC Gas Tank ❑Gas Piping _ Shutters ✓Q Windows/Doors
R1Electric 21 Plumbing Sprinklers Generator Fvl Roof 6i'12 Roof pitch
Total Sq. Ft of Construction: 2822 S Ft. of First Floor: 2a22 Mi (
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Cost of Construction: 3Y6,75G •S0 Utilities: _ Sewer 11 Septic Building Height:
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OWNER/LESSEE`:
CONTRACTOR:
Name Michelle LoBrutto
Name ones e f-,Q n
Company: Coastal Buildi g C rp LL
Address:1781 SW Hampshire Lane
City: Port Saint Lucie State:FI
Address: 751 SW South Macedo Blvd
Zip Code: 349543 Fax:
City: Port Saint Lucie State: FI
Phone No.772-323-5930
Zip Code: 34983 Fax:
E-Mail: Pslprop1224@gmail.com
Phone No. 772.879.2440
Fill in fee simple Title Holder on next page ( if different
E-Mail: storres@coastalbc.us
State or County License: CGC1521176
from the Owner listed above)
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If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: Paul Welch INC
Name: Fidelity Funding
Add ress:1984 SW Biltmore Dr
Address: 2881 SE ocean Blvd
City: Port Saint Lucie State: Fl
City: Stuart State: FL
Zip: 34984 Phone772-785-9888
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Zip: 34996 Phone:772-288-1771
FEE SIMPLE TITLE HOLDER: — Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
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
is in Home Owners Association bylaws covenants that may restrict or such
which conflict with any applicable rules, or and prohibit
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.
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I
Liganatureri
S' nature of Ow er/ Lessee/Contractor as Agent for Owner
� ontractor/License Holder
S FLORIDA
STATE OF FLORID
COUNTY OF S T,
I
COUNTY OF .J , L t
The forging instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this ��iay of—nQU � , 20� by
this day of \\inVgyV, , 20 by
I 1 IGI�ELLEE Lp�W-r- 'J
<CAz-c, S, �1t�
Name of pe\rson making statement
Name of perso making statement
Personally Known �^OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification `
Produced
Produced
`
L�
4
(Signature of Notary Public- State of Florida)
(Sig a ure of Notary Public- State of Florida)
Commission No. ,°S�" P s''., D1ANAG0�,�AA
�ot4;Y!1181" KATRINAKLUC�INcEC�u"
Commission No. MISSION#�30
ommissidn # G 118886
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Expires July 27, 2021
N„ ce EXPIRES; September 26, 2020
'• ,? Bonded Tin Troy Fain Marne BDWM0185'7019.
9%F F"V Bonded Thru Budget Notary Services
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DATE
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RECEIVED
DATE '
COMPLETED
Rev. 8/2/,17