HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONf .
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l Z • J^ Permit Number: '
/ V
f2E VED
Le M • Building Permit Applicatior MAR 12 2019
Planning and Development5ervices ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMITTYPE:single family residence BY
PROPOSED IMPROVEMENT LOCATION: St. Lucie Count
Address: Navion Drive
Property Tax ID #: 4224-501-0099-000-8 n Lot No. 99
Site Plan Name: 1 `rc.0&kYN, e. CCask \,c K Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
single family residence
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
✓Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
✓Electric ✓Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 3 1 u l Sq. Ft. of First Floor: 3 ( La
Cost of Construction: $ 2-S5 U-15 Utilities: _Sewer Aseptic Building Height:
-3&1 / 799,7
OWNER/LESSEE:
CONTRACTOR:
Name Rafael Espinal
Name:Andrew Nadalin
Address: `4-7(pn AcjnLA i n I ref I
Company: Pace 2000, Inc.
City: ( r)<nvv �i Cree-K- _ State: FL
Zip Code: 3:YJ-7 -7-) Fax: p
Phone No. gSci - `� I Q(D$
Address:` 45 NW Prima Vista Blvd.
City: Port St Lucie State: FL
Zip Code: 34983 Fax: 772-340-7304
Phone No772-340-7223
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailadmin@pace2000homescom
State or County LicenseCBC059859
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: _ Not Applicable
Name•JMeah WOMYArchHea
MORTGAGE COMPANY:
Name:
Not Applicable
Add ress: SW SE Oxecia Sl�
Address:
City: swan State: FL
Zip: 3ass4 Phone772-.97-w32
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
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 themork 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."
i
Signature of Owner/ Lessee/Contractor as A ent for Owner
Signatu ractor/Lic nse Holder
STATE OF FLORIDA I
STATE OF FLORIDA
COUNTY OF . S+. Ll1C1 P .
COUNTY OFnwae
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
thisZ day of rrb_Y� Gl 2D19 by
this 7m day of maft 20 by
AYloP0 /VQHn b—,
Marew Natlalin
Name of person making statement.
Name of person making statement.
Personally Known u OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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Il.1_ Xlq �%t_P_l.P�tJ
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�(f.I.iXD/ 6dlr�eA2 J
0 S. Bneler
(Signature of Notary blic-St prida) Paula S. Breler
(Signature of Notary Pu is-Sta j a) Paula
Commission No. G Q3o y` Co n 0GO30
* s: September 15, 202
�'= Commission 4 GG030
Commission No. GG030 3 '� *AVRS: September 15,
Bonded thin Aaron Nota
°-.,,;at'' Bonded thru Aa%n Not
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