HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: O
SCANNED
BY ro
St. Luce R6
County Eca')
°'a
Building Permit Application Maa'o
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT TYPE: Build i
Par 5 a� de
Residential x
I.'PROPOSED IMPROVEMENT LOCATION I \ I
Address: xxxx Palmetto Drive, Fort Pierce, FL 34982 -IS
Property Tax ID #: 3402-606-0036-000-4
Site Plan Name: Indian River Estates
Project Name: Howland
Lot No.38
Block No. 5
rDETQILED DESCRIPTION QF WORK;
Construction of Single Family Residence
CONSTRUCTION dNFORMATION:-
Additional work to be performed under this permit -check ail that apply:
Y.Mechanicai _ Gas Tank _ Gas Piping _Shutters X Windows/Doors
4 Electric Plumbing _ Sprinklers _ Generator 34 Roof Pitch
Total Sq. Ft of Construction: 2817 Sq. Ft. of First Floor: 1869 under a/c
Cost of Construction: $ a l S'D Utilities: -Sewer t Septic Building Height:
OWNER/LESSEES
CONTRACTOR
Name Brett and Donna Howland
Name:Synergy Homes, LLC
Address:5208 Palm Drive
Company:
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone N0.772-618-0459
Address:3950 RCA Blvd., Ste 5000
City: Palm Beach Gardens State: FL
Zip Code: 33410 Fax:
Phone N0561-315-3317
E-Mail: ds_proverb@bellsouth.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Maildeanne@synergyhomesfl.com
State or County LicenseCBC 1254289
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 CONSTRUCTION. LIEN LAW INFORMATION.;
DESIGNER/ENGINEER: _
N a me: eoarch Engineering
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Loyalty Home Leans
Address: 4994 Luqui Court
Address: 9069SESedge Rd.B
City: west Palm beach
Zip:-33415 Phone561-294-6929
State: FL
._Zip:
City: Hobo Sountl State: FL
33455 Phone: 551-246.9586
FEE SIMPLE TITLE HOLDER: _
N a me: Sme as owner
Not Applicable
BONDING COMPANY: —C Not Applicable
Name:
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:"
Si atu o Owner/ Lessee/Contractor as Agent for Owner
§ignatu a of Contractor/License Holder
STATE OF FLORI A
STATE OF FLO D
n
COUNTY OF IYI R&Ia
COUNTY OFF �1)L�i
The for oing instrument wJas. acknowledge before me
�
The forgoing instrument was acknowledged before me
LEE 20a by
this day of 6(/(�2 20/L' by
this day of ,
U
�i Uri
A �Vj L)&
y 1 n
Nam& of person making
Namelof person making statement.
/statement.
Personally Known OR Produced Identification
Personally Known _X__OR Produced Identification
Type of Identification
Type of Identification
Z
oduced
(Signature of No Pu ic- to 'NO& L. JOHNSON
(Signature of Nota ubl' `
JMVCOMMIssloNacc2slsas
Commission No. s: July 17, 2021
DEANS:
Commission No.
MY com 4GG251845
EXPIRES: July 17, 2021
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Kev. 217719