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
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REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.g/2/17