HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAQ|APPU MUST BE COMPLETEDFOR APPLICATION T0BE ACCEPTED
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Date: �������\�W���� Penm�Nunober�
BY
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
J30UVirginia Avenue, Fort Pierce FLJ498Z
Phone: (772)4GI'1553Fax: (772)46I'1578 Commercial Residential X
Address: 4705 Elm Ave Fort Pierce Fl. 34982
PnopertyTax|D#:3404-5O1'0882'0O0'0
Site Plan Name: Elm Ave
Project Name: RJM Custom Homes/ Allih
Demolition of
Additional work to be performed under this permit —check all that apply:
Electric
GasTank
— Plumbing
Total Sq. FtofConstruction:
Cost of Construccivz,�5
—Gas Piping
__Sprinklers
Shutters
Generator
Sq. Ft. of First Floor:_
Utilities: —Sevver _Septic
Block No.
___Windows/Doors
_Roof Pitch
Building Height:
UT
Name Justin &Amanda Allih
Name: Kimberly Burner
Address- 5802 Palm Drive
Company, RJM Custom Homes
City: Fort Pierce State:
Zip Code: 34982 Fax: N/A
Phone No. (772) 216-8248
Address: 6917 Vista Parkway North Suite #1
City: West Palm Beach State: Fl
Zip Code: 33411 Fax: N/A
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E-Mail michael@rjmcustomhomes.com
State or County License C13C1256527
Ifvalue pfconstruction is $IS0Uormore, aRECORDED Notice ofCommencement isrequired.
SUPPEEMENTALCONS,TRUCTION LIEN A�'W INFQRIVIATIQN
4
DESIGNER/ENGINEER: _ Not Applicable
Name: RICK BOYETTE
MORTGAGE COMPANY: _
Name: CENTER STATE BANK
Not Applicable
Address: 4031 COCONUT BLVD
Address: 2100 SOUTH PARROTT AVE
City: WEST PALM BEACH State: FL
Zip: 33411 Phone (561) 790-5766
City: OKEECHOBEE
Zip: 34974 Phone: (863)763-5573
State: FL
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: FIRST AMERICAN TITLE
BONDING COMPANY: _Not
Name'
Applicable
Address: 1555 PALM BEACH LAKES BLVD
Address:
City: WEST PALM BEACH
City:
Zip: 33401 Phone: (561) 626-8443
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
AN ATTORNEY
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIQA STATE OF FLORIDA
COUNTY OF_� I M • 1612 -02" COUNTY OF
The forgoing instrument was acknowledg d before me The forgoing instrument was acknowledged before me
this!day of rMN �f 20IN by this —ft day of I" 20A by
lCtuh (avrtvicgt2 l-Im &/►✓iLon
Name of person making statement. Name of person maki ltatement.
Personally Known OR Produced Identification Personally Known _ OR Produced Identification
Type of Identification Type of Identification
Signatur o 6ta Public- State of Florida I (Signature of N
ANA M. DEL O TE • Q ,_ ANA M. DEL MONTE
o_.., N
'ommisSion N5. _ Beall Commission No. - • MY COMMISSIIS)W)GG007376
SION G 07376 "7 ... :t EXPIRES June 29, 2020
EXPIRES June 29, 2020 °!`•`
Flo allotery8ervica,wn
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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