HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr._
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
SCANNED Permit Number: 1 lDL1 ' 0 /7
BY aECEzVED
St. Lucie County
Building Permit Application MAY 36%,
Permltdn9 Dep3rtmott
St. Ludo County
Commercial Residential X
Address: T4=*Anita St -1O 0 Cirt I+ct 5" F .
Property Tax ID #:3403-331-0007-000-2 Lot No.
Site Plan Name: 3 36 40 BEG 1085 FT E OF OLEANDER AV AND 6 ST RUN N 120 FT Block No.
Project Name: 3 36 40 BEG 1085 FT E OF OLEANDER AV AND 6 ST RUN N 120 FT, TH W 25 FT, TH N 210 FT,'
NEW CBS 3/2
Additional work to be performed under this permit - check all that apply:
_Mechanical _Gas Tank _Gas Piping I _Shutters —Windows/Doors
_ Electric _ Plumbing _Sprinklers _ Generator _ Roof 6/12 Pitch
Total Sq. Ft of Construction: 1397
Cost of Construction:$ 171•O76.l07/
Sq. Ft. of First Floor: 1199
Utilities: _Sewer _Septic Building Height:16'
O,WNER�Es�b.1.jxrmr
GoN7' R1QCTOR,
Name Glenn Theabald
Name:Mark Montalto
Address:2634 NW Brennan Ct
Company:Port Saint Lucie Properties, INC
City: Stuart FL State: _
Zip Code: 34994 Fax:
Phone No.772-209-8296
Address:2401 SW Monterrey Lane
City: Port Saint Lucie State: FL
Zip Code: 34953 Fax:
Phone N0772-249-0086
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail pslpropl224@gmail.com psipropl @gmail.cm
State or County License CBC1 263072
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.
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UPPLE ENTAL COO'NS�TRI<tCTI®N LIEN,�W INFO',RMlaa
ION
DESIGNER ENGINEER: Not Applicable
Name: i1 ,r
MORTGAG OMPANY:
Name:
_Not Applicable
Address.
Address:
l
City: l.t State:
Zip: Phone
City: IW r/ 1
Zip: Phone:
State
O�
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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 OUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON TH5 JOB SITE BOURE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN NANCING, CONSULT
WITH YOUR L59DER OR ANATTORNEY BEFORE RECORDING YOUR NOTICIE,0 COMME ENT."
,
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Slgnatur bf ner/L ee/Contractor as Agent for Owner
fSignature4ifC ntractor cense 14older
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Stlude
COUNTY OFSt,Lucie
The forgoing instrument was acknowledge6before me
The forgoing instrument was acknowledged before me
this 3rd day of May 20 by
this 3rd day of May 20 M by
Mark Montalto
Mark Montalto
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
I II
(Signatdre of Notary Public -State o
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Commission No.
fa"n •�., MICHELLE LOBRU
` e Commission # FF 94
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
nev.2/7/19
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