HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: A, N c- Permit Number:
SCANNED RECEIVED
Building ermit%p$ficatio i MAY 31 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMITTYFE: new construction residential
PROPOSED IMPROVEMENT LOCATION:
Address: 5437 Ideal Holding Road
Property Tax ID #: 3210-111-0020-000-1
Site Plan Name:
Project Name: Miller residence
DETAILED DESCRIPTION OF WORK:
construct a single family residence with 3bedrooms, 2 baths and a carport
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
X Mechanical
X Electric
_ Gas Tank
X Plumbing
Total Sq. Ft of Construction: 2118
Cost of Construction: $ 250,000
Gas Piping
_ Sprinklers
Lot No.
Block No.
_Shutters X Windows/Doors
Generator X Roof 6/12 Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height: 10'I
OWNER/LESSEE:
CONTRACTOR:
Name Evan Miller
Name: dames Trefelner
Address:5500 Orange Ave
Company:Trefelner Construction Inc
City: Fort Pierce State: ft'
Zip Code: 34947 Fax:
Phone No. 1� - ^ 2(v0- tQtpyO
Address:1760 Copenhaver Rd
City: Fort Pierce State: FI
Zip Code: 34945 Fax:
Phone No772-201-9833
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail trefelnerj@bellsouth.net
State or County License 28600
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Raul Valella
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 138 SE NaranjaAve
Address:
City: Port St Lucie State: FI
Zip: 34983 Phone 772-871-2457
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 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."
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Signatur f Owner/ Lessee/Contra6Kr as Agent for Owner
Signature Contracto icense Holder
STATE OF
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Name of person making statement.
Name of person making statement.
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Personally Known OR Produced Identification ✓
Personally Known OR Produced Identification
Type of Identification
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Type of Identification��
Produced
(Signature e of Notate of Florida)
(Sign No Late of Florida)
Commission No. GCti i $77)-- (Seal)
Commission No. 6I7 %S % 71 GI (Seal)
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