HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
MAR '092010
•
milling Department
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Building Permit ApplicationPerSt. Lucie County.
Planning and Development Services
Building and Cade Regulation Division ,
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: SCANNED
PROPOSED IMPROVEMENT LOCATION:
Address: 10 io ur. r��,
Property Tax ID #: 3321-501-0005-000-8 Lot No.5
Site Plan Name: SABAL CREEK -PHASE I- LOT 5 Block No.
Project Name:
[ DETAILED DESCRIPTION OF WORK:`'
new CBC 2/3/2
CONSTRUCTIONINFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof 6112 Pitch
Total Sq. Ft of Construction: 4314 Sq. Ft. of First Floor 14
Cost of Construction: $a*G-,yB0A 7,366-r Utilities: _ Sewer Septic Building Heigh G a-e'",
i —1
OWNERAESSEE:
CONTRACTOR:
NameSusan Beckman
Name:Philip Petruzelli
Address:7816 SADDLEBROOK DR
Company:Port St. Lucie Properties, INC
City: PSL Florida State: _
Zip Code: 34986 Fax:
Phone No.772-249-0086
Address:2401 SW Monterrey LN
City: Port Saint Lucie State: FL
Zip Code: 34953 Fax:
Phone N0772-249-0086
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail pslprop1224@gmail.com & ps1prop1 @gmail.com
State or County License CBC1 257923
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, aRECORDED Notice of Commencement is required.
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SUPPLEMENTAL
CONSTRUCTION�LIEN,LAW INFORMATION
.�
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _
Not Applicable
Name: Paul Welch INc
Name:
Address: 19b4 SW Biltmore St Ste 114, Port St Lucie, FL 34984
Address:
City: PSL State: FL
City:
State:
Zip:34984 Phone 772-785-9888
Zip: Phone:
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
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR-LEyDER OR AN ATTORNEY BEFORE RECORDING YOUR BMICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contract:brig Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSt. Lucie
COUNTY OFSt. Lucie
The forgoing instrument was acknowledg before me
The forgoing instrument was acknowledged before me
this au, day of Marh 20 by
this 61h day of March 2011 � by
Philip Petruzelli
Philip Petruzelli
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature E a
q°'.'Ye^^'•,
(Stu a of Notary
i+tY'0. @LL BRLITTO
. Commission # FF 949733
? 6A, Commission# FF 949733
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Commission No. a . • ` Expires Ja
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SUPERVISOR
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MANGROVE
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