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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED [ ? J o yqq 12/28/2018 Permit Number: Date: -- -— ---- - - - -- - SC - RECEIVED BY t. Lucie county DEC 2 8 Building Permit Application 2018 Planning and Development Services Pennittin ent St. Lucie Caur'Ev Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Commercial Residential x Phone: (772) 462-1553 Fax:-(772) 462-1578 PERMIT APPLICATION FOR: Building ;. PROPOSED:IMPRQVEMENTLOCAT,ION„_,.. Address: Mueller Road D Dr $- jyIA l I e r Ic Legal Description: Rogers Ranchettes (PB 46-24) LOT 3 (2.50 AC) 2334-700-0004-000-9 Lot No. 3 Property Tax ID #: Block No. Site Plan Name: Monroe Residence Project Name: Setbacks Front 200.01 Back: 348.53 Right Side: 62.36 LeftSide: 45.00 F < DESCWHOiI OF WORK>` s x r " D€TAILED t Construct single family residence with 4 bedrooms, 3 baths and 2 car garage i ` r � 'J.>.F.. n. CONSTRUCTION INFORMATION AaCitiona wor to e e orme un ert ispermit—c ec a apply: windows/Doors �GasTank [jHVAC ❑Gas Piping _Shutters zElectric 0 Sprinklers Generator Roof 6/12 Roof pitch Plumbing Total Sq. Ft of Construction: 4245 5gI�Ft.I of First Floor: 23' 6" 1Sewer 3$0 W S/,Z gQj Utilities: Septic Building Height: Cost of Construction: $ �• .�(� CONTRACTOR < , flWNERI ESSEE v, Name Christopher and Sarah Monroe Name: James Trefelner Company: Trefelner Construction Inc Address: PO Box 881255 Address: 11U00 C29CV�hay5Y gM Port St Lucie FI State: Fort Pierce State: FI City: _ Zip Code: 34988 Fax: City: Phone 772-201-7406 Zip Code: 34945 Fax: Phone No. 772-201-9833 E-Mail: E-Mail: trefelnerj@bellsouth.net Title Holder on next page (if different 28600 Fill in fee simple from the Owner listed above) State or County License: If value of construction is $2500 or more, a RECORDED Notice of commencement is required. ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t Date: 12/28/2018 Permit Number: RfCELyEO Building Permit Application DEC 28zQ�Q S�gNNF® Planning and Development Services Permith "(i t ey 23000 Virginia Avenue, Fort PierceBuilding and Code Regulation'FL 34982 sion St• Luce Ceurl Y en�C/e COUnIf Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: Building II PROPOSED IMPROVEMENT LOCATION: Address: Mueller Road Legal Description: Rogers Ranchettes (PB 46-24) LOT 3 (2.50 AC) Property Tax ID #: 2334-700-0004-000-9 Site Plan Name: Project Name: Monroe Residence Setbacks Front 200.01 Back: 348.53 Right Side: 62.36 LeftSide: 45.00 Lot No. 3 Block No. DETAILED DESCRIPTION OF WORK: III Construct single family residence with 4 bedrooms, 3 baths and 2 car garage CONSTRUCTION INFORMATION: itiona wor to e e orme under t—checkispermit a apply: 0HVAC 11GasTank E]GasPiping rn _Shutters windows/Doors Electric OPlumbing Sprinklers Generator R1 Roof 6/12 Roof pitch Total Sq. Ft of Construction: 4245 Cost of Construction: $ 380,000 S Ft. of First Floor: Utilities: Sewer Septic Building Height: 23 6 OWNER/LESSEE: CONTRACTOR: Name Christopher and Sarah Monroe Name: James Trefelner Address: PO Box 881255 Company: Trefelner Construction Inc City: Port St Lucie State: FI Zip Code: 34988 Fax: Phone No. 772-201-7406 Address: 11I00 1001)GWhOver ?XQ 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 -Name: Architectonic [no - — ---Name:-- MORTGAGE COMPANY: - — _ Not Applicable — — — Address:808 Delaware Ave Address: City: Fort Pierce State: FI Zip: 34950 Phone 772460-7761 City: Zip: Phone: State: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: Name: _Not 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 recorditldvour Notice of Commencement. 14 Q Signature iOwner/ Lessee C ractor as Agent for Owner Signature Contractor/License Hell OF ORIDng Ly STATE OF FL L C�Q COUNTY OFSTATE COUNTY OFORIDAS�_ The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 'day of W a 20 j by this 3— y of .DP 201 D Tiy amps �m�e 1 Y.rn 7S_r-trct_o- d 71 \P lfw r Name of person making statement Name of person making statement Personally Known OR Produced Identification Personally Known OR Produced Identification 1/ Type of Identification Type of Identification I7 Produced D �F�� (�/e� Produced tom( (Signature of No is -State of Florida) (Signature of Commission No. "" ELLEN ?69 1GHN c$•""""`° =- da �I f Flori "" ELLEN VAUGHN 4State of Florida-N Commission ggppublic - = t o ary public - •_ Commission 4 GG 270079 = sion # GG 27d079 %;;p������;;:�� MV Commission Expires ='qa�?a My Commission Expires October 22, 2022 nna REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17