HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COM'rLcTED FOR APPLICATION TO BE ACCEPTED' � 3�
Date:i 11/1/2018 Permit -Number: 1 0 - of `v
w,l _ RECEIVED
Building Permit Application NOV 0 7 202
Planning and Development Services T. Lucie County, Permitting
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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: SCANN._`�
Legal
2705 Bent Pine Drive Fort Pierce,F1.34951
n: Lot 96 Monte Carlo Country Club Unit 2
Property Tax ID #: 1334-502-0013-000-4
Site Plan Name: Jenness Residence
Jenness Res
Project Name: �,idence
Setbacks Front 89.96 V Back: 77.14
DETAILED DESCRIPTION OF WORK:
Construct Single Family Home
.A
Right Side: 24.55 Left Side: 10
Lot No. 96
Block No.
CONSTRUCTION INFORMATION:
AdClitional work to be nerformed under this permit— check
EIHVAC ❑Gas Piping
all
t= apply:
Shutters
a Windows/Doors
LJ
Gas Tank
_
Electric 0 Plumbing
OSprinklers
ElGenerator
E]Roof Roof pitch
Total Sq. Ft of Constructio • 3E
S . Ft. of First Floor: L.A.-2017
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Cost of Construction: $ 372�87�.� Utilities.
Sewer
Septic
Building Height: 18
OWNER/LESSEE:
CONTRACTOR:
Name William and Donna Jenness
Name: William Jenness
Address:4354 Buena Tara Drive
Company: Northlake Construction
,City: West Palm Beach State: FL
Address: 9314 Forest Hill Blvd.Suite 66
Zip Code: 33413 Fax: 561-798-9694
City: Wellington State: FL
Phone No. 561-202-7044
E-Mail: northlakeconst@att.net
Zip Code: 33411 Fax: 561-798-9694
Phone No. 561-202-7044
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
i
E-Mail: northlakeconst@att.net
State or County License: CGC-032834
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONS I LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: �-2£)n2Gc ems.
Name:
_
Address: 419'17-1( /_ a a IJ i e_-
Address:
City: Gt 8 State: T--/
City: State:
Zip: 3311/.5' Phone S6 /- Z 94/— &?291
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name: W t ( < <�.,�,. cvnc� � ��_ sS
Name:
Address: �/35 / �� QLC,- 'ate
Address:
City: 1 GJ f_-S 4- 8enzk .�_
City:
Zip: Phone:
Zip: 33Y[3 Phone: t5'Q-Zcpz-7c Y.W
I
)WNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify jthat no work or installation has commenced prior to the issuance of a permit.
County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
n conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
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
rnmmenring wnrk nr recording vour Notice of Commencement.
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Signa r of Owner/ Lessee/Contractor as Agent for Owner
-
Signa re Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Perm Beach
I
COUNTY OF Palm Bean,
The for oing instrum,enqt was acl owledge efore me
this day of AJ 20 by
The f r oing instr ledg efore me
this day of 20 by
�i lr ,Cal l.2 J�aQ��tit P,�1
74A. Wt , f
erson making statement
ers n making statement
rsorially Kno �_ OR Produced Identification
ersonally Know OR Produced Identification
yp entification
Type Ication
Produced
e
Produced
r �
(Signature of Notary Public- State o I r'
ure of Notary Public -Sat o I
Notary Public State of
Commission No. (0� I) Denise Manning
F aide CC R Not Pu State of Florida
Com sion No. ,3 �X y g
De non
My Cominiasw FF
OF Expires 0?JZ312020�
6 F
My Commission FF 9b3878
or � f:xpUea 02/23/2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
14
RECEIVED
l�
DATE J
COMPLETED
tev. 8/2/17