HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: V Permit Number:
i
Permit Application
LRECEIVEbBuilding
Planning and Development Services
N 0 9 2019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Reside
PERMIT APPLICATION FOR: Other
SC ANNFn
PROPOSED iM'MOVEMENT LOCATION: ,._' '^
' iBY'
Address: 4410 North Highway A1A, Ft. Pierce, FL 34949
'itUCIB County
Legal Description: QUEENS ISLAND PRESERVE (PB 60-4) BLK A LOT 1 (OR 4101-2047)
Property Tax ID #: 1414-704-0002-000-9
Lot No. 1
Site Plan Name: Queen Island Preserve
Block No. A
Project Name: Aquavista
Setbacks Front Back: Right Side: 7.5 ft Left Side: 7.5 ft
DETAILED'DESCRIPTION`QF WORK.
Piling foundation permit only for future family residence.
CONSTRUCTION;j,NFORIV,IATION v
_
ttiona wor to e e orme under tispermit-c ec all apply:
�HVAC 0GasTank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ElPlumbing Sprinklers Generator Roof
Roof pitch
Total Sq. Ft of Construction: 3775 S Ft. of First Floor: 3775
Cost of Construction: $ 50,000 Utilities. Sewer Septic Building Height:
OWNER/�LESSEEm y w«: ` `
CO'NTRAGTOR"
Name Venetian Administration, LLC
Name: Ubaldo Blanco GC '
Address:7400 West Flagler Street
Company: Ubaldo Blanco GC Inc.
City: Mlami State: FL
Zip Code: 33144 Fax:
Phone No. (305)785-7785
Address: 437 Golden Isles, Apt 8F
City: Hallendale State. FL
Zip Code: 33004 Fax:
Phone No. 786-512-4484
E-Mail: bonvecchio@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: vortega@sionhomes.com
State or County License: CGC 047289
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. II
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
commencingwork or recordingour Notice of Commencement.
Rev. 8/2/17
SUPPLEMENTAL;CONSTRUCTION"L-IEN
L`A, W INFORMATION
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address: 4a7 Golden Isles, Apt eF
Address:
City:
City:
Zip: Phone:
Zip: Phone:
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FlORIDA
COUNTY OF
COUNTY OF'
The forgoing instr�ent was acknowledged before me
The forgoing instrument was acknowledged before me
this � day of � ..ts _ 20�' by
this � day of 204 by
Nariie"o` person makng`siat:ement
Name of person making statement
Personally Known ,� OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
qP;� MANIA DIAZ
,a"'."•.,, MANIA DIAZ IL
(Signature of Notary rEo LSM � Ion ! aG 05501r7 a
(Signature of Nott��mc9i4�o }k`tGaG
Dec 13,
055017Florida
mmi ion o. My Coryry�gffyyplres 2020
Commission No. my Comm. E�g�pec 13, 2020
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BondeUthroupMNailonalNmaryAssn.
road thrpuphNational Notary Assn.
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SUPERVISOR
PLANS
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MANGROVE
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REVIEW
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DATE
COMP,LETED'