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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u Date:\a`aA .1Q Permit Number. O 6?00 RECEIVED Building Permit Application DEC 9 a 2nlg 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 PERMIT APPLICATION FOR: Building ST. Lucie County, Permitting Residential x Addre, s� r `i-- "ar- I g 49 5- W"? W 68 ryl%c� 3 `{ Clc-(kt Luc a rnun(j Legal Description: Country Living Estates s/d bik B lot 4 (1.03 ac) (or 3611-357) Property Tax ID q: 2305-500-0016-000-2 Site Plan Name: Project Name: Beebe residence Setbacks Front 50.6 Bad Side: _1`V' 1`1 LeftSide: Lot No.4 Block No. B I, DETAILED DESCRIPTION OF WORK; III Construct a single family residence with 3 bedrooms and 2 baths. All 64gA" CONSTRUCTION INFORMATION: III LJHVAC LJ Gas Tank UGas Piping L_I Shutters Electric 0 Plumbing Sprinklers Generator Total Sq. Ft of Construction: 2336 S Ft. of First Floor: Cost of Construction: $ 0 .9a��.00 Utilities: Sewer Septic QWindows /D�oorrss j RIRoof 1 h Roof pitch Building Height: OWNERAESSEE: CONTRACTOR: Name Justin and Chelsea Beebe Name: dames Trefelner Address:3141 S Brocksmith Road Company: Trefelner Construction Inc City: ,Fort Pierce State:FI Zip Code: 34945 Fax: Phone No.772-216-3364 Address: I-Iteo (y7WyAace✓ t? 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 MORTGAGE COMPANY: _ Not Applicable Name: Raul Valella Name: CenterState Bank Address: 138 SE Naranja Ave Address: 50D1 Okeechobee Road City: Port Sl Lucie State: FI City: Fort Pierce State: FI Zip: 34983 Phone 772-871-2457 Zip: 34947 Phone: 772-460-2242 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 such prohibit 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 commencing work or recording our Notice of Commencement. Z— Signature caner/ Lessee/Contrac r Agent for Owner Signature 0 ontractor/Ucense Ho& STATE OF FLORIDA STATE OF FLORIDA COUNTYOF 6t. l o� �� COUNTY OF -SIT 1-.Uv.� The forgoing instrument was acknowledge before me The forgoing instrument was acknowledge before me o this day ofO C 20 by thisaLP day of pee 20A3L by V e1 •M2 5 �i crs'¢� vie. '� � q m e S 'C f-- v's. r Name of person making statement Name of person making statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced �p�� — Produced F t� �r-•o-vvv'•a� a,� (Signature of Notary Pu lic-State of Florida ) (Signature of Notary Public- State of f�d CTC2&a` a 0 ` Commission No. a..3 - IEGNENs MpµIE GNENS Commissi `NIONpGGOQ�I) G0022023 +'ti�Y',•"aitt MY COMMS tis.2020 tp,:r•"• .m> 16, 2020 y M: PIRES:G�° -fathers y Pvyp°Und $ 'Mb -R •Detamb° 'ters :9f endedThNN°ffiN REVIEWS FRO Yi:o;;`'20 ERVISOR iftl PLANS ATION SEATURTLE MANGROVE COU EW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.g/2/17