HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMic i ED FOR APPLICATION TO BE ACCEPTED
Date: June 3, 2019
Planning and Development Services
Building and Code Regulation Division _
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
^ n Permit Number: Pap -MrI
`J v�i�n SCANNED
Building Permit Application BY
St. Luclecouniv
Commercial Residential X
PERMIT TYPE: New Construction / Single Family Residence
PROPOSED IMPROVEMENT LOCATION:
Address: Lot 6 Ocean Estates Drive, Fort Pierce, FL 34949 i
Property Tax ID #: 1403-500-0022-000-5
Site Plan Name: Avalon Beach P.U.D.
Project Name: Avalon Beach -Lot 6
Lot No. 6
Block No. 2
I DETAILED DESCRIPTION OF WORK: I
New single family residence. Attached 2 car garage.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical
_ Electric
_Gas Tank
Plumbing
Total Sq. Ft of Construction: 3,543
Cost of Construction: $ 482,057.00
_ Gas Piping
Sprinklers
_Shutters _Windows/Doors
_ Generator _ Roof 7
Sq. Ft. of First Floor: 1
Pitch
Utilities: X Sewer —Septic Building Height: 29'
OWNER/LESSEE:
CONTRACTOR:
Name William and Maria Pierce
Name: Thomas Rickert Miller "
Address: 1455 SW 125th Avenue
Company: TRM Construction Management, Inc
City: Davie State: FL
Zip Code: 33325 Fax:
Phone No. 305-292-8205
Address: 1512 SE Village Green Drive
City: Port St Lucie State: FL
Zip Code: 34952 Fax: 772-237-3081
Phone No 772-905-2727
E-Mail:_pier6970@bellsouth.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail Paul@trmcorpfl.com
State or County License CGCO24829
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:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
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 YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SII E BEFORE THE FIRST INSPECTION.,11F YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINGUR NOTICE OF COMMENCEMENT."
Signature of O / Lessee/Contractor as Agent for Owner
igna Tre of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORID' /
e
COUNTY OF
COUNTY OF T UGr
The forgoing instru eRt was acknowledged before me
-\y
The forgoing instrument was acknowledged before me
this � day of tl e- .20 y
this jL day of :4yg r 20J3 by
Name of person making statement.
Name of person making statement.
OR Produced Identification
Personally Known � OR Produced Identification
Ty Tjyildentifwntcation
Type of Identification
Produced
Produced
9
(Signature of NotaryPublic-
Signature Kf Notary Public -State of Florida )
AV Notary PuWk State of Florida
Commission No. r b�y�rG�R°�
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