HomeMy WebLinkAboutBUILDING PERMIT APPLICATION.All APPLICABLE INFO MUST IIE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: JANUARY 23, 2019 RECEIVED Permit Number:
APR 0 5 7019
ST. Lucie County, PerR117 q
cardingPermit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITT rPE: New Construction
PROPOSED INPROVEMENT LOCATION:
3045 NW RADCLIFFE WAY, PALM CITY, FLORIDA 34990-4908
Property Tax ID #: 4425-703-0047-000-6
Site Plan Name: MAST RESIDENCE
Project Name: MAST RESIDENCE
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION OF A NEW POOL HOUSE
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
SCANNED_ _
BY
St. Lucie County
X
Lot No. 42
Block No. PE167-3E
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof 4/12 Pitch
Total Sq. Ft of Construction: 804
Cost of Construction: $ 179,343.55
Sq. Ft. of First Floor: 580 UA
Utilities: _Sewer _Septic Building Height: 12.33' MRH
OWNER/LESSEE:
CONTRACTOR:
Name BRIAN AND BRIANNA MAST
Name: JOHN S LEIGHTON III
Address:3045 NW RADCLIFFE WAY
Company-LEIGHTON CONSTRUCTION LLC
City: PALM CITY, FLORIDA State: _
Zip Code:34990-4908 Fax: N/A
Phone No. CONFIDENTIAL
Address: POST OFFICE BOX 1273
City: STUART State:FL
Zip Code: 34995 Fax: N/A
Phone No772-263-0500
E-Mail:CONFIDENTIAL
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-MaiIJOHN@LEIGHTON.CC
State or County License CGC 060060
IT value of construction is 52590 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 CONSTRUCTION LIEN LAW INFORMATION
r "'"
DESIGNER/ENGINEER: _Not Applicable
MORTGAGE COMPANY
X Not Applicable
Name: KFI I Y & KELLYARCHrrECTS
Name: wA
Address: tf9 Sw eTH STREET
Address:
City: STUART State: FL
City:
State:
Zip: M94 Phone772-�aa-a92
Zip: Phone -
FEE SIMPLE TITLEHOLDER: — Not Applicable
BONDING COMPANY:
X_Not Applicable
Name: SAME
Name:NIA
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OylrNEm CON 1 RACUOR AFFIDVIT: Application is hereby made to obtain a permitto do the work and installation as indicated.
1 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 subjectstructure
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 conwrrency 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 pa '' rce for
improvements to your property. A Notice of Commencement must be recorded and po ed on a jobsite
before the first inspection. If you intend to obtain financing, consult with lender or -home efore
commencing-wArk or recording your Notice of rnmmPrv-Pmonf
ature of Owner/ Lessee/Contractor as Agent for Owner
Si o Cont for/Dc se older
STATE OF FLORIDA
STATE OF FL D
COUNTY OF---- hart n
COUNTY OF R(Lf1AJ
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this_ day of 20_6 by
this I Vif day of ft&0 JLq 204 by
a -- 9-- ,-, n x ic f
JOIN 5-1,06, tTv ,
-Name of person. making statement
Name of person making ement
Personally Known ,C OR Produced Identification
Personally Known OR Produced identification
Type of Identification
Typeof ldentifi ion
Produced
Produced
(Signature of Notary Public-S a of
of Notary PO to of Flon 'p
a� v,
++EF DAM D
�: O11 E7Q199S
Commission No. r F2Z0 231
( MEXPIRES:
ln-
n No. Colrenl n�D. � 170431
170437
EXPIRES: May 1
May
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2019
Underrmlers
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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DATE
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COMPLETED
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