HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED [ ? J o
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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
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