HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFQMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 q
Date: \aT� ik • Permit Number:
R FCFIVED
Building Permit Application I DEC 14 2018
Planning and Development Services I ST Lucie County, Permitting
Building and Code Regulation Division SCANT
2300 Virginia Avenue, Fort Pierce FL 34982 BYPhone:(772)462-1553 Fax: (772) 462-1578 Commercial Residential x Lucie
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 5 p R
PROPOSED,IM PROVEM ENT LOCATION:
Address: 7420 Laurels Place (%W 3` ( 10 --A� I ZJ]/P
Legal Description: Parcel 15A at the Reserve, Lot 13
Property Tax ID m 3322-501-0016-000-1
Site Plan Name: Rosen Residence
Project Name: Rosen Residence
Setbacks Front 35, 7Back: I I Right Side: Ia' I s Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No.13
Block No.
New single family residence b&4 ' C� qAV-Ae1,b
CONSTRUCTION 'l N FORMATIONt
Additional wor to ,fee/� eorme un ert is permit hecka apply:
❑✓_HVAC -Gas Tank ZGasPiping _Shutters Windows/Doors
Electric OPlumbing
6f4.• [ZSprinklers Generator Roof i Roof pitch
Total Sq. Ft of Construction: 5223
Cost of Construction: $ d
Stggl�F��Fttt of First Floor: 5223
Utilities: uSewer ESeptic
Building Height: 26'0
OWNER/LESSEE;
CONTRACTO R:
Name Alan and Kim Rosen
Name: Karen Gordon
Address:9329 Briarcliff Trace
Company: Paradise Homes Group
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
PhoneNo.
Address: 9329 Briarcliff Trace
City: Port St Lucie State: FL
Zip Code: 34986 Fax: 772-621-4664
Phone No. 772-621-4663 '
/1
E-Mail: V I (YIY.�rtr W.y 5LX1 an(Pgw1cul'tWY)
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Permitting@paradisehomesfl.com
State or County License: CGC1518913
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
lz�`yl
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION':
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Raul R Valeiia Name: Nta
Address: 138 Naranja Avenue Address:
City: PortSt Lucie State: FL City: State:
Zip: 34986 Phone 772-871-2457 Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Alan and Km Rosen Name: N/A
Address: 9329 Brarcliff Trace Address:
City: Port St Lucie City:
Zip: 34996 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 conliict 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
commencingwork or recordingour Notice of Commencement.
Aam
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St Luce
CO U NTY O F st woe
The forgg,oing instrument was acknowledged before me
7d Q �%V%�.rr20�y
The for ing instrument was acknowledged before me
this 29day /:�_�A,Af—Z20yf by
this day of
of
/7L/*/ 1205 �✓
4jlw�xl r17—ogiz ✓
Name of per o making statement
Name of perso making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
//// ��nn I r Paula E. O'Brian
Commission No.e)31V20 0 d �NOTARYPUBLIC
Paula E. O'Brien
Commission No. �Zi� o� PoOTARYPUBLIC
o STATE OF FLORI
A
�STAI'E
Comm# FF970337
o OF FLORI
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Comm# FF9
et
Vres 3/14/202
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17