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