HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED'
Date: SCANNED Permit Number: GJ�
BY
St. Lucie Cou* RECEIVED
PAY 14 2019
Building Permit Application Permitting Department
Planning and Development Services st, L441e 694nty
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X_
PERMIT TYPE: inor structure Ins a Ilation.
PROPOSED IMPROVEMENT LOCATION
9628 Enclave Circle, PSL, A 34986
Property Tax ID q: 3322-800-0011-000-4
Site Plan Name: Goschke Residence
Project Name: Goschke Residence - Art Installation
Lot No.
Block No. 8
I, DETAILED:DESCRIP.TION OF WORK: 4
Concrete structure for statue/art work in center of driveway (has footers, Engineered); circular pad, per plan.
_ Remove & replace two (2) existing lamp posts (existing posts shown on survey)
— Add two 2 walk -out pads off front ofhome; 10 x 8-6
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof n/a Pitch
Total Sq. Ft of Construction: n/a Sq. Ft. of First Floor: n/a
Cost of Construction: $ 2200 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE °� Y
z «,.
CONTRACTOR
Name Doug & Ann Goschke
Name: Aurelio Pereira
Address: 9628 Enclave Cir
Company: Villadelta Construction Corp
City: Port St.Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 1-336-255-0899
Address: 1425 SE Village Green Drive
City: Port St.Lucie State: FL
Zip Code: 34952 Fax: 888-869-1058
Phone No 772-201-7363 (Yvonne) or 444-2577
E-Mail: ann@dragonflyprop.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail yvonne@villadelta.com
State or County License CRC05835
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
Not App
Addl
City:
Zip:,
-,LAW INFORMA
E
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
Zip:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
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.
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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
'Signature of Contractor/License Holder
STATE OF FLORIDA
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STATE OF FLORID
-COUNTY-OF S4 . c i �' —
COUNTY OF �
The forgoing instrument was ackn wledged before me
The forgoing instrument was acknowledged before me
this�dayof 20 by
this � dayof k 20� by
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Name of person'making statement.
maeofperson making statement.
Personally Known AL— OR Produced Identification x
Personally Known, OR Produced Identification
Type of Identification
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REVIEWS
FRONT
ZONING
SUPERVI
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SEA TURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19