HomeMy WebLinkAboutBUILDING PERMIT APPPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r
Date Jan 17 2019 / a�Cj Permit Number: O
L4q& ` ci e (01 RECEIVED
Building Permit Application JAN 17 2019
Planning and Development Services
Building and Code Regulation Division — — ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMITTVPE: New home construction O Q NE13
Address:
I Johnston Road, Lot 5 Postobella +
Property Tax ID #: 1327-806-0005-000-6
Site Plan Name: Ashton
Project Name: Ashton
2 bath ,2 car garage , single family residence, CBS
CONTRUCTI'ON INORMAT[O.N: r
Additional work to be performed under this permit —check all that apply:
YMechanical _Gas Tank _Gas Piping _Shutters
' C Electric )� Plumbing. Sprinklers _ Generator
Total Sq. Ft of Construction: 2793 ✓ Sq. Ft. of First Floor: 2�93
Lot No. 5
Block No.
Windows/Doors
Roof Pitch
i
Cost of Construction: $ Utilities: —Sewer X Septic Building Height:
OWNER/LES,SEE
CONTRACTOR
Name Joel Ashton
Name: David Golden
Address: Johnston Rd
Company: Dave Golden Homes Inc.
City: Ft. Pierce State: _
Zip Code: Fax:
Phone No. 772-564-1379
Address.4900 Indrio Rd
City: Ft. Pierce State: fl
Zip Code: 34951 Fax:
Phone No 772-466-0829
E-Mail: jashtonlogistics@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Dave@davegoldenhomes.com
State or County License CBC1253198
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCF[ON LIEN LAW INF_ORMIOIU
r.1kr+ s�1t . zF?t* s.
AT
DESIGNER/ENGINEER: _
Name: Todd N. smith
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 9142othpla«
Address:
City: vero Beach
Zip: 32960 Phone772-559-3699
State: 6
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
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 OW : Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to ou property. A Notice of Commencement must be re orded and posted on the jobsite
before the first i�ispection.,lf you intend to obtain financing, consult wjfh�j ender or an attorney before
commencing ork,or rec dirl°e vour Notice of Commencement. �� �� i �I
C�
Signature C Owner/ essee/Contractor as Agent for Owner
SignaturE�ofContractor/Licens Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFsrwae
COUNTYOF
The forgoing instrument was acknowledged before me
this day 204by
The fof ^going instrument was acknowledged before me
S
ofy`i//%!y
this —7day of .20#by
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Iden ati n
Type of Identification
Produced L �`
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Produced �(, , t—
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(Signature of Nota K�'�.;�Sjate
N
NIELSEN
(Signature of No ry ,µ Vic- a eA er a I �I ELSEN
`Q4�A��UB`i
�� „-;State of Florida -Notary Public
Commission No. �_ Commissic(SdagG 207484
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_ :_State of Florida-y otary Public
Commission No. - ,= Commissi(�Sea
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%,y��r�?; My Cornmission Expires
G 207484
r�w.� My Commission Ex fires
p
rr�nr June 12, 2022
June 12, 202
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DATE
COMPLETED
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Kev.9/26/18 II