HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONJ�— , -- I
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
• !Departr
--�— Building Permit Applicatio J
Planning and Development Services
Building and Code Regulation Division Permitti2300 Virginia Avenue, Fort Pierce FL 34982Phone:(772)462-1553 Fax:(772)462-1578 Commercial Reside ' tx�u
PERMITTYPE: Building
Road
Property Tax ID #: 2329-502-0007-000-6
Site Plan Name:
Project Name: Day residence
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
X Mechanical _Gas Tank _Gas Piping _Shutters
X Electric X Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction: 3761
Cost of Construction: $
Sq. Ft. of First Floor: _
Utilities: _Sewer X Septic
Block No.
X Windows/Doors
X Roof varies Pitch
Building Height: 21' 8 1/2"
OWNER/LESSEE:
CONTRACTOR:
Name Christopher and Christina Day
Name: dames Trefelner
Address: 3105 Tennessee Ave
Company- Trefelner Construction Inc
City: Fort Pierce State: _
Zip Code: 34947 Fax:
Phone No. 772-807-0000
Address: 1760 Copenhaver Rd
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 trefelnerj@bellsouth.net
State or County License 28600
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: - _ Not -Applicable
Name: Raul Valella
-MORTGAGE -COMPANY. =
Name: CenterState Bank
Not A p icabfe
Address: 138 SE Namnia Ave
Address: 5001 Okeechobee Road
City: Port St Lucie State: FI
Zip: 34983 Phone 772-871-2457
City: Fort Pierce
Zip: 34947 Phone: 772-480-2242
State: FI
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not
Name:
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
commencing work or recording our Noti a of Commencement.
7 /_//
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Signature Owner/ Lessee/Contracto a ent for Owner
Signature of C ractor/Licens er -
STATE OF FLORID
STATE OF FLORIDA
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COUNTY OF
COUNTY OF C�
The for oin instrument was acknowledged before oj"
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The for ing instr��jj++��e t was acknowledged before =9; .
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Personally Known Produced Identificatio & N4 m
Personally Known OR Produced Identificatic
Type of Identification A 8ZI
ype of Identification mT
Produced a
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(Signature of P&tary Public- State of Florida)
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(Signature PWtary Public- State lorida
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Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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