HomeMy WebLinkAboutBUILDING PERMIT APPLICATION41. APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1-
Date: • Ir Permit Number:
-� (,DA
RECEIVED
- Building Permit Application MAR 2 6 2015
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 X
PERMIT APPLICATION FOR: Building RY III
I PROPOSED INPROVEMENT LOCATION: Z51. LUCle uountmu
Address: 3037 NW Radcliffe Way PalvL, ci±v 3kS90
Legal Description: Riverbend Plat Book 67 Page 36 City of Port St. Lucie, St. Lucie County, Florida
Property Tax ID #: 4425-703-0048-000-3
Site Plan Name: Riverbend
Project Name: Riverbend
Setbacks Front35.81 Back:95.67 Right
Left
2-
Lot No.43
Block No.
DETAILED DESCRIPTION OF WORK: III
New Construction-SFR Model-6510 Elevation D
0
CONSTRUCTION INFORMATION: III
HUUMU11di WUM LU UV11Un UCU U11UU1 Luu pen UL—ulecrt ml dppry:
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Z✓ HVAC Gas Tank ❑Gas Piping _Shutters Z Windows/Doors
❑✓ Electric ✓❑_Plumbing I /❑Sprinklers ❑Generator Roof Total Sq. Ft of Construction: 4486 ✓ Sq. Ft. of First FI sv(-
Cost of Construction: $ 310,000.00 Utilities; OSew _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Standard Pacific of South Florida
Name: Richard Manning Woodley
Address: 825 Coral Ridge Drive
Company: Standard Pacific of South FI GP, Inc.
City: Coral Springs State: FL
Zip Code: 33071 Fax: 954-434-8840
Phone No. 954-232-2290
Address: 825 Coral Ridge Drive
City: Coral Springs State: FL
Zip Code: 33071 Fax: 954-434-8840
Phone No. 954-232-2290
E-Mail: Permits@brownspermitting.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Permits@brownspermitting.com
State or County License: CBCA17970
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
f
CElR'WIFICATION:
This. a`ppiication is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity,
if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS,
AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit application.
St. Lucie County_makes no representation that its granting of a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit s uch
structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory
structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non -
residential use.
NOTICE 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 YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO
ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
uY1hM.1(s]N
STATE OF FLORIDA
COUNTY OF Broward
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The foregoing instrument was acknowledged before
me this 2 Cv day
I oof1h 20 IS ,
i : I. ICI 2 by 21 Melt st2-5
who is personally known _X or has produced
as identification.
Signature of Notary
Commission N °v 'Y•.. DENISE BROWN
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g. Expires November 4, 2018
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CONTRACTOR SIGNATJAM
STATE OF FLORIDA
COUNTY OF Broward
The foregoing instrument was acknowledged before
me this 10th day of February 20 15 ,
by Richard Woodley Manning
who is personally known X or has produced
as identification.
Signature f Notary
Commission No.
6�;.w"Opal ll ❑NDAC. GOSSELIN ('
r My COMMISSION N EE 22473
%; a EXPIRES: August 14, 2016
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NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS.
For specific instructions see appropriate permit checklist.