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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO. MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u d Date: �a`sO`\A . ., Permit Number:,41�J0 15 ° C bl� Building Permit Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial AN idatibn DEC 2 6 2018 ST, Residential x _ BY PERMIT APPLICATION FOR: Building 5� PROPOSED IMPROVEMENT LOCATION: Address: BdUain.Ave 25'T 6('4cb3Uo6k Ocµf j- KZ4,U _ 3K tLJ Legal Description: Dorian s/d blk A lots 1,2,3,10,11 and 12(2.54 ac)(or4127-2278) Property Tax ID #: 2310-801-0001-000-3 Site Plan Name: Project Name: Rojas residence Lot No.1,2,3,10,11 Block No. A Setbacks Front75.73 Back: 155.42 Right Side: 247.66 Left Side: 79.23 II DETAILED DESCRIPTION OF WORK: Construct a single family residence with 3 bedrooms and 3 1/2 bathrooms. CONSTRUCTION INFORMATION: III Z✓ HVAC Li Gas Tank ❑Gas Piping U Shutters Z✓ Electric Plumbing Sprinklers []Generator Total Sq. Ft of Construction: 2321 SgI�Ft.� of First Floor: Cost of Construction: $ Do1�� Utilities•. I21Sewer Septic ✓OW indows/Doors Roof 6/12 Roof pitch Building Height: 18.8 Y OWNERAESSEE: , CONTRACTOR: Name Yoan and Taymi Rojas Name: James Trefelner Address: PO Box 13734 Company: Trefelner Construction Inc City: Fort Pierce State:Fll Zip Code: 34979 Fax: Phone No.772-971-1113 Address: 111¢0 CoPV%KAVfV tot. City: Fort Pierce State: FI Zip Code: 34945 Fax: Phone No. 772-201-9833 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: trefeinerj@bellsouth.net State or County License: 28600 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable (game: Raulvalella MORTGAGE COMPANY: _ Name: CenterState Bank Not Applicable Address: 138 SE Naranja Ave Address: 5001 Okeechobee Road City: Port St Lucie State: FI Zip: 34983 Phone 772-871-2457 City: Fort Pierce Zip: 34947 Phone: 772460-2242 State: FI FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Name: Applicable 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencine work or recordine vour Notictr of Commencement. r Signature of 0 fr/ Lessee/Contractor Age r Owner Signature? Contractor/License HorcTer STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 6 k " r-0- COUNTY OF The forgoing instrument was acknowled before me The forgoing instrument was acknowledgeA before me thisa� day of O�c 20' by thisao day of t)C 20_tL by 54.V4�QS �i�Fe,�hei 5a "%.% `CCQ�¢\v\et` Name of person making statement Name of person making statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identifica ' Type of Identification Produced L Produced F l Q L DEM1NAMgR1EG �'F- --g-�,v�,•,a/ � MYCOMldI5310NAGG G022022023 (Signature of Notary b i - (Signature of Not ry Pu is °Af1(l": Deoember18,2020 DEANNAMARIEGIVENS ,g„�'..•' onded tiw NoBryPLAiE Underwriters �+ Commission NO.OT-60 '*il,•..'rj"' MY($WSSION11 GG 022023 Commission No.(74zr4t) 13Udil ce EXPIRES: Dember 18, 2020 aondedThtu Notary PubllcUnderxrilers REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17