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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNEI)Permit Number: 1512-0408 BY • St. Lucie County Building Permit 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 X PERMIT APPLICATION FOR: Building PROPOSED INPROVEMENT LOCATION: Address: 13316 NW Baywood Place Legal Description: Riverbend Plat Book 67 Page 36 City of Port St. Lucie, St. Lucie County, Florida Property Tax ID #: 4425-703-0041-000-4 Lot No.36 Site Plan Name: Riverbend Block No. Project Name: Riverbend Setbacks Front Back: Right Side: Left Side: 1 DETAILED DESCRIPTION OF WORK: New Construction-SFR Change of Qualifier CONSTRUCTION INFORMATION: AaCitional wor to e performed under ZHVAC E] Gas Tank ❑✓— Electric 0 Plumbing tispermit—check ❑Gas Piping Sprinklers a apply: Shutters Generator FV Windows/Doors Roof Total Sq. Ft of Construction: Cost of Construction: $ So. Ft. of First Floor: Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Standard Pacific of South Florida Name: Scott Harala Address:825 Coral Ridge Drive Company: Standard Pacific of South FI GP, Inc. City: Coral Springs State: FIL 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: CGC1506052 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: _ Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before Signature of Owner/ Agafn—t7legsee Signature of Contractor/License Holder STATE OF FLORIDA I STATE OF FLORIDA m COUNTY OF Bartl COUNTY OF The forgoing instrument was acknowledfgd before me this IS day of 20W by Scott Harala (Name of person ackn ledgmg ) (Signature of Notary Public- State of Florida ) Type of Known x OR Produced Identification DENISE BROWN 6emmission # FF 14(1RIA Expires November 4. 2018 Revised 07/15/2014 The forgoing instrument was acknowledged before me this Lday ofA�5 20[Iby scl - (Name of person acknowledging) (Signature of Notary Public- State of Florida I Personally Known x Type of Identification Commission OR Produced Identification Iced (Seal) sr,, DENISE BROWN Expires sNovember4, 2018 aontlod rNu irov Fein IK�nro e0p�p,5.ry 18 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED , I (y Date: I Z 3 .15 SCANNEDermit Number: I J Q- /� l d� A BY St. Lucie County m—CEIVED Building Permit Application DEC 2 3 2015 Planning and Development Services PERillITTING Building and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue, fortPierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Building PROPOSED INPROVEMENT LOCATION: Address: 13316 NW Baywood Place Legal Description: Riverbend Plat Book 67 Page 36 City of Port St. Lucie, St. Lucie County, Florida Property Tax ID #: 4425-703-0041-000-4 Site Plan Name: Riverbend Project Name: Riverbend Setbacks Front 40.00 Back: 19.90 DETAILED DESCRIPTION OF WORK: New Construction-SFR Model 6811-C/R Right Side: 17.46 Left Side: 2728 Lot No. 36 Block No. CONSTRUCTION INFORMATION: III ❑✓_ HVAC LJ Gas Tank Da! Z Electric ❑✓_ Plumbing []Spi Total Sq. Ft of Construction: L/ 7 O 7 Cost of Construction: $ 373,000.00 Piping LJShutters nklers Generator S Ft. of First Floor: _ Utilities: Sewer W1 Septic ZWindows/Doors W1 Roof 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. SUP PLEMENTALCONSTRUCTION-LIEN,LA.W INFORMATION:, DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: _Not Applicable Name: _ Address: City:_ 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. no :e the permit holder to build the subject structure or and covenants that may restrict or prohibit such deed for any restrictions which may apply. In consideration of the granting of this requested permit, 1 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 jobsite before the firs inspection. If you intend to obtain financing, consult with lender or an attorney before commencing orVoN rekordine vour Notice of Commencement. Lessee STATE OF FLORIDA COUNTY OF Broward The forgoing instrument was acknowled ed b fore me ` this tl day of 420 Cby Signature of Contract icense Holder STATE OF FLORIDA COUNTYOF}J ,I\C(��isc� The forgoing instrument was acknowledged before me this.�'gay of Dl , 20EOby Michael Metzkess /� Richard Manning Woodley (Name of personacknowledging)(Name of person acknowledging ) (Signature of Notary Public -State of Florida ) (Signature of Nota Public - State lorlda ) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. Revised 07/15/20 NSHACHAR MY COMMISSION #FF007 U AC ��iiO0SSELIN P 4� _ MY C( KNt EE224735 'p REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE !/pl I RECEIVED GO DATE COMPLETED