HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICAB E INFO M ST BE
Date:
i ED FOR APPLICATION TO BE ACCEPTED
SCANNED
BY
St. Lucie County
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Building III
PROPOSED IMPROVEMENT LOCATION: III
Address: 904 Osceola Dr. Ft Pierce, FI. 34982
Legal Description: 8%OOE 1. OFW W OFN.V .' O 6, OFE IROFNA {OFNEIM.1. 11 6.E1b OF60 - HDW "OFH] A1I 6 gRWEV 6N O LO HE 1.E1N 3 L OR W 56)
Property Tax ID #: 3409-411-0004-000-4
Site Plan Name:
Project Name: Vega Residential Home
Setbacks Front 85 .02 f QiB tB:I I Right Side: g 146 Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
New Construction of a Residential Home
gaso s a S-twx
I CONSTRUCTION INFORMATION: I
Y IHVAC L _I Gas Tank
tZJ_ Electric Q Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
Piping ❑_Shutters D���Windows/Doors
nklers Generator 9 Roof
S Ft. of First Floor:._
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Rodolfo Vega
Name: Thomas.Lu_mbert-.
Address:722 NW Grenada St.
Company: Society'Buildes LL'C
City: Port Saint Lucie State: Fl
Zip Code: 34953 Fax:
Phone No. 772.240.3648
E-Mail: carmenvegal981@yahoo.com
Address: 1607-A I:aurel Leaf Lane
City: Fort Pierce' State: FI
Zip Code: 34950 Fax:
Phone No. 772.528.8305
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: jensensales@aol.com
State or County License: CBC 1252256
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: JohnD.Holt Name:
Address:925AmmAve. Address: `
City: Wellington, State:"F1. City: State:
Zip: 33414 Phone: 561.793.7843 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
'Name:
Address:
City: _
Zip:
Phone:
BONDING COMPANY: _Not Applicable
Name:
City:
Zip: Phone:
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
2oda/`O of
Signature of Owner AgeW Lessee
STATE OF FLORIDA 1 STATE OF FLORIDA
COUNTY OF COUNTY OF ;5
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this,26day of .s�P� 20 14 by this day of 20__IA by
� 0 U 6 L-CO 6 .2O, of \L rl-) S 1
(Name of person acknowled " g) (Name of person acknowledging)
of Notary Public -St
Known OR
Type of
Commisslonll FF 153639
Revised
(Signal a of Notary Public -State of Florida )
Personally Known OR Produced Identification
Type of Identification
1UANITAOELTER
Commission Nikwj_ PuNIc Stati(iiH9doda
CommisslonA FF 153539
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St. Lucie County