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Home My WebLink AboutBUILDING PERMIT APPLICATIONI 4 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 12/18/18 Permit Number: ` U C 1� U 1,p RFc Building Permit Application oF�I F�Fa Planning and Development Services 9 Building and Code Regulation Division Si!./4y�e 1�fB 2300 Virginia Avenue, Fort Pierce FL 34982 cpdrt4j Phone; (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x °"ntie"t PERMIT APPLICATION FOR: To Select from dropbox click arrow at the end of line PROPOSED IMPROVEMENT LOCAT_ ION: I .„? Address: 6105 Balsam DrivI& / &—te 21- Leeal Description: INDIAN RIVER ESTATES -UNIT 09- BLK 87 LOT 34 Property Tax ID #: 3402-610-0530-000-0 Site Plan Name: Project Name: Setbacks Front26.00' Back:48.50' DETAILED°DESCRIPTIOWOF WORK: New CBS 3-3-2 Right Side: 12.26' Left Side: 12.26' Lot No.34 Block No. 87 CONSTRUCTIO.N.IIN FORMATION: Itionai or to a etorme under tispermit—checka apply: . Tank Gas Piping _ Shutters ✓Q Windows/��Do��ors Electric Plumbing Sprinklers ElGenerator Roof LU Roof pitch Total Sq. Ft of Construction: 2227 S . FtFtj. of First Floor: 2227 Cost ofiConstruction: $ ` `tclid<2`s Utilities: LJ Sewer Septic Building Height: 19.00' i OWNER/LESS,EE: CONTRACTOR: _ Name Nancy Velardo Name: Philip Petruzelli Address:1827 Pelican Dr Company: Port Saint Lucie Properties, INC City: Fort Pierce State:F� Zip Code: 34982 Fax: Phone INo.772-249-0086 Address: 2401 SW Monterrey Lane City: Port Saint Lucie State: FI Zip Code: 34953 Fax: Phone No. 772-249-0086 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) I E-Mail: pslprop1224@gmail.com State or County License: CBC1257923 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I SUPPLEMENTAL CONSTfUCTIONLIEN LAW INFORMATION iy F £�' ...:.K.•� a� i _ _: t, .. •,.v... '4A A `" �k3, 3u I i i - z . i° I 1 ""` y 1.! - DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Paul Welch INC Name: Address:1984 SW Biltmore Blvd Address: City: Port Saint Lucie State: FL City: State: Zip: 34984 Phone 772-785-98e8 Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDIN COMPANY: _Not Applicable Name: Name: Address: 2401 SW Monterrey Lane Addres . City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the iss nce of a permit. St. Lucie County mak no representation that is granting a permit ill authorize the permit holder to build the subject structure which is in conflict wit ny, applicable Home Owners Association ules, bylaws or and covenants that may restrict or prohibit such structure. Please consult lth your Home Owners Association an review your deed for any restrictions which may apply. In consideration of the gran ' g of this requested permit, I do reby agree that I will, in all respects, perform the work in accordance with the approv plans, the Florida Building C des and St. Lucie County Amendments. The following building permit applic ions are exempt from ndergoing a full concurrency review: room additions, accessory structures, swimming pools, ces, walls, signs, creen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure t ecord a otice of Commencement may result in your paying twice for improvements to your property. A Noti of C mencement must be recorded and posted on the jobsite before the first inspection. If you intend to b in financing, consult with lender or an attorney before commencing work or recording our Notice Commencement. Signature of Owner/ Lessee/Contractor as Agent f r Owner Signature of Contractor/License Holder STATE OF FLORIDA IDA COUNTY OF The forgoing instrument was acknowledged bef re me ument was acknowledged before me \thisof this —day of 20_ by 20_ by Name of person making statement Name of p son making statement Personally Known OR Produced Identifi ation Personally Known N, OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public -State of Florida ) (Signature of Notary Public -State of, Florida ) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE CO M P LETED Rev. 8/2/17 SUPPLEMENT>ALrCONSTRUCTIw®N�L�IENjL�AWIINF®RM�TIOIV�� ' , y�, '°�''�s;'� �'��3'�`�` DESIGNER/ENGINEER: _ Not Applicable Name: Paul Welch INC MORTGAGE COMPANY:' Name: V' e 0'ry (-P 6� _ Not Applicable F Address:1984 SW Biltmore Blvd Address: ) OM '%e 41WhRil i W` City: Port Saint Lucie ' State: FL Zip:34se4 Phone772-785-98e8 City: .SA/ Zip: L Phone: — State: FEE SIMPLE TITLE HOLDER: Not Applicable Name:' BONDING COMPANY: Name: Not Applicable Address: 2401 SW Monterrey Lane 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 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 Signature of Owner/ Lessee/Contractor as Agent for Owner I Signature of Contractor/License Holder STATE OF FLORI A COUNTY OF . t UL�� The forgf Tg instrument was acknowledgq before me �tlhis __Et of r1ie.� b IZ 20Ab by tyVA�1\0 W'fvU II i Name of person rpdking statement Personally Known V OR Produced Identification Type of Identification Produced /\ (Signature of No 'da gi• Seal 3 ro Commission No. Commissiony.(� j'3res Bondedfimirc:'e!n!r.z;•c. ssrpfe REVIEWS FRONT" ZONING COUNTER REVIEW 17e\10 ev STATE OF FLORIDA COUNTYOF Q.1bja�Q The forg instrument w s acknowledg before me this day of . 20_ by \ r? -PwuaI I t Name of pets-oryfiiaking statement Personally Knowny OR Produced Identification Type of Identification of Florida Expires January 1Z 2020 SUPERVISREVIEWORI PLANS REVIEW I VREV EWON SEATURTREV EWLE M EVIVE EW