HomeMy WebLinkAboutBUILDING PERMIT APPLICATION0\ku2
IFALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/20/2018 Permit Num 1
SEEM;Building Permit Applicatior
Nov 212018
3T. Lucie Eedritq, Mi
Planning and Development Services
Building and Code Regulation Division SCANNED
2300 Virginia Avenue, Fort Pierce FL' 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x �{ - BY
PERMIT APPLICATION FOR: Building --
PROPOSED IMPROVEMENT LOCATION:
Address: Splash Pine Trail j So l $171 r I tAxt LN qs�
Legal Description: 7 34 40N 1/2 of NW 1/4 od SW 1/4 of NE of SW 1/4 less W 60 ft(1.04 ac)
Property Tax ID #: 1407-313-0015-000-1 Lot No.
Site Plan Name: Block No.
Project,Name: Trefelner
SetbacIks Front 51.92 Back: 160.92 Right Side: 47.85 Left Side: 47.83
DETAILEDDESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
.
Additional work o be nertormed under this permit — check
ZHVAC I _I Gas Tank Gas Piping
RIElectric 0 Plumbing ❑Sprinklers
all apply:
_ Shutters
❑� Generator
Q Windows/Doors
Roof 6�12 Roof pitch
Total Sq. Ft of Construction: 2962 S . Ft. of First Floor: 2962
Cost of Construction: $ 3s7. lob ) _� Utilities:11Sewer 171 Septic
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Building Height: 22' 10
OWNER LESSEE:
CON!TRACTOR:::'
Name TIristen and Alexis Trefelner
Name:
Company:
Address:
Address:1760 Copenhaver Road
City: Fort Pierce State: F�
Zip Code: 34945 Fax:
City: State:
Phone No. 772-201-0800
E-Maii:'Arefelnerl2l2@gmaii.com
Zip Code: Fax:
Phone No.
Fill in fee simple Title Holder on next page (if different
E-Mail:
from the Owner listed above)
State or County License:
It value it construction is $250U or more, a. RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
_ Not Applicable
Name: RaulValella
Address: 138 SE Naranja Ave
City: Port St Lucie State: FI
Zip: 3Q983 Phone: 772-871-2457
FEE SIMI
Name: _
Address:
City: I
Zip:
TITLE HOLDER: _ Not Applicable
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: CenterstateBank
Address: 5001 Okeechobee Road
City: Fort Pierce State:
Zip: 34947 Phone: 772-400-2512
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify .that no work or installation has commenced prior to the issuance of a permit.
FI
Not Applicable
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
beforejthe first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
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Signature of Owner/Less a/Contractor as Agent for Owner
I
STATE OF FLORIDA
COUNTY OF 5k. L �3 C
The forgoing instr_i�me t was acknowledgbefore me
this day of 'N a� . 201 by
(Name of person acknowledging)
(Signatu;re of Notary PYjblic- State of Florida )
Personally Known MART VFW —
—
Type of Identificati , ed 3
MY18N 1FGC�� 20
� 2�
Commission No. EXP, ES �„nttcunde�w�e�
Revise Id 07/15/2014
s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of 20 by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
(Seal)
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