HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLe r erj FOR APPLICATION TO BE ACCEPTED
Date: 3'V9t — 12
tsuming Per
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
Permit Number: tC103 O/ V4.l
Application MAR 2,9 ppiB
Perrnitting pe
St• Lucie coaotyent
Residential x
PERMIT TYPE: residential, single family residence ��Hlvlvtu
I PROPOSED IMPROVEMENT LOCATION: St. Lucie Countv I
Address: 5421 Stately Oaks.. Fort Pierce
Property Tax I D #: 3404-711-0005-000-7
Lot No.17
Site Plan Name: Southern Oaks Estates First Replat Lot 17 (0.57 AC) Block No.
Project Name: M l_ n\I
DETAILED DESCRIPTION OF WORK:
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 �IZ Pitch
Total Sq. Ft of Construction: DJa53 Sq. Ft. of First Floor: 'A'As-1 1kn6g 1'-QI( /3a53
/ r
Cost of Construction: $ Q� . Utilities: %_ Sewer _ Septic Building Height: 21 I
OWNER/LESSEE:
CONTRACTOR:
Name David & Susan Munyan
Name: Andrew Nadalin
Address:2601 Covenant Drive
Company: Pace 2000. Inc
city: Fort Pierce - - State: FL
Zip Code: 34981 Fax:
Phone No. 772-979-5008 ,.
Address:445 NW Prima Vista Blvd
City: Port St Lucie State: FL
Zip Code: 34983 Fax: 772-340-7304
Phone No 772-340-7223
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Maiiadmin@Dace2OOOhomes.com
State or County License CBC059859
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.
GQa5
d
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 LEN ATTORNEY BEFORE RECORDING YOUR NOTICE ENCEMENT."
CO
SUPPLEMENTAL CONSTRUC `Iv LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: Joseph McCarty Architect
MORTGAGE COMPANY:
Name:
X Not Applicable
Address: 900 SE Osceola Street
Address:
City: Stuart State: FL
Zip: 34994 Phone 772�97-6932
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY:
Name:
X Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
7
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Ct I i icier
COUNTY OF Ct I i inia
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this28 day of March 20'I9 by
this/128 day of March 2019 by
A ��r�
AYYI I\IQaIQ /�ir�
hrlre/ �) /�/Qd�z
f P� t)
Name of person making statement.
Name of person making statement.
Personally Known X� OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identifica on
uced
ProdP0111A
Produced
/�
i� l� )hn � /A i
/ �.(.�.QGL S.
(Signature of Notary Pu is -State of Florida)
Pu ilorida Paula S. Breier
(Signature of No�G(303ca-',,.
��h���Paula S. BreieCommissbn
SGG030843
CommissionNo. GG0308���i.jpnGG030843Commission
NoFxp(ta�z�ptember15,2020
— ;Expires: September 15, 202D
` Bonded thN Aaron Notary
,,,,,,,.
�huuaa"
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
y
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
1
DATE
COMPLETED