HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �l�'t `�� Permit Number. `0\1:))-9SaA
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Building Permit Applicati n :IAN ;, 4 ' a
Planning and Development Services ST. Lucie County, Permittino
Building and Code Regulation Division
23001 Virginia Avenue, Fort Pierce FL 34982 X
Phorie: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: 5 SCANNED A;unooalong;9
PROPOSED INPROVEMENT LOCATION: BY
Address: 5808 CLYDESDALE LN St Lucie County
Property Tax ID #: 3309-605-0030-0003 Lot No.27
PLol2ct NNarpf�1e: PONY PINES -UNIT ONE BLK A LOT 27(1.61 AC) (OR 4045-230) Block: A
SeTbacks Froh . c .Right side: e: 70.33
DETAILED DESCRIPTION OF WORK:
NEW CBS constructed home 3/212
mechanical, Electric, Plumbln& window-sldoors00
CONSTR CTION INFORMATION: Roof Pitch 6/12
Utilities: Y Sewer _Septic Sq. Ft. of First Floor: 288
Cost of Construction: $ ou�q-3y9dW Total Sq. Ft of Construction: 2884
FLOODPLAIN DEVELOPMENT PERMIT for structures exempt from Building Code that are in the
floodplain:
Nonresidential Farm Building:_ Temp. Bldg./Shed used exclusively for construction:
Mobile/Modular for temp. construction office: Bldg. involved in distrib. of electricity: _
Other Flood Zone:_ BFE:_ Floodway? Y/N If Y,
No Rise Certificate with supporting data attached? Y/N
All other applicable state and federal permits shall be obtained prior to commencement of
Construction.
OWNER/LESSEE:
CONTRACTOR:
NameRalph & Gabdele Chapin
Name: Philip Petreuzelli
Address:9101 S Indian River DR
Company- Port Saint Lucie Properties, INC
City: Fort Pierce FL State: _
Zip Code: 34982 Fax:
Phone No.772-418-1042
Address:2401 SW Monterrey lane
City: Port St. Lucie State: FL
Zip Code: 34953 Fax:
Phone No772-249-0086
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail pslpropl224@gmail.com Pslpropl@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, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
,9NER/ENGINEER: _ Not Appl
a• Paul Welch INC
BSS:1984 SW Biltmore BLVD
Port Saint Lucie State:
W3
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:'
Zip: Phone:
MORTGAGE COMPANY: X Not Applicable
Name: None
Address:
City: State:
Zip: Phone:
COMPANY: x Not Applicable
Name:
Address:
City:
Zip: Phone:
CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
it 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 1 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.
1 I ii7 n \� r17� 'IL,4
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Signa r e / Less or as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLO ID
STATE OF FLORIDA
COUNTY OF—T. iZ
COUNTY OF C1 _ f r I GrC
�
The forggoing instrument was acknowledge before me
iStljlayof 9
The f ing instrument was acknowledged before me
aNdayof January
this January 20 by
this 20 19 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
//Y1, litA C-
Produced
AIA
�'of
(Signature o Notary Public-
t
(Signature Notary
t� H BRUTTO
MICHELLE L65RUTTO
' ' '?•'.'-: Commi(Sisal FF 949733
Commission No.
Commission No.
:r Commissloqq pt��y49733
�= Expires January 12, 2020
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xpires JanLa� 7, 2020
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