HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONj
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: re1--.t.G r, OU,,r Vm Permit Number. ` Ora-drS�O
BY CionJUN
CEIVED
;t I I IriP. COUP�y
- Building Permit Applica 2 s ?019Planning and Development ServicesBuilding and Code Regulation Division County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 X
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE:New Residential Construction
P,ROP.OSED IMPROVEMENT LOCATION „ A „:' K
kAA , -4:00SE Brevard Ave Port Saint Lucie FL 34952
Z I ' 3414-501-6303-350-2 4
Property Tax ID #: Lot No.
Site Plan Name: 'Block No. 4
Project Name: Conte Residence
44 n ifaP ix ..a k& •v... ..@ `J
Additional work to be performed under this permit —check all that apply:
Mechanical k Gas Tank is Gas Piping 2C Shutters Windows/Doors
)c Electric X Plumbing _ Sprinklers _ Generator x Roof Pitch
Total Sq. Ft of Construction: 4,213 Sq. Ft. of First Floor:
Cost of Construction: $ rig z liq Utilities: X Sewer _Septic Building Height:
19'8"
t0WNER/LESSEE
CONTRAC[OR..
nConte- W
Name Iancario an eaF er
Name: lancaro on e
Address: North Blackwell r
Company: Conte Contracting Corporation
Port Saint Lucie
City: State:
Address: 4
_
Zip Code: 34952 Fax:
City: Port Saint Lucie State:_
Phone No. 772-8UT-2Tff
Zip Code:34952 Fax:
Phone No =- 07-2811—
E-Mail: conteconraC Ingcorp gmal .com
Fill in fee simple Title Holder on next page ( if different
E-Mail Contecontractingcorp gmal .com
State or County License
from the Owner listed above)
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.
5A3
SIFPPGNIEtUll`�NSTRtGTlC7I LIEN CAW I{UFOFMAT101V3u
DESIGNER/ENGINEER:
Name: Architectonic Inc
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:Centerstate Bank NA —
AddrWs: Delaware ve
City: D
Zip: Phone
State:
Addres
City: In State. FL
Zip: Phone:863-804-0281
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
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-"
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA,
STATE OF FLORIDA
"—/v
COUNT
COUNTY OF 4,/ if-+S
The orgoing instruu ent was acknowledP�e before me
thi day of �Jc��14-
Thelorgoing instryr�ent was acknowledge before me
thisLk_`dayof"�J��Q. by
�%201,by
�J�201.gy
Name of per on making statement.
Name of per onmakinAg statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Pr duced
' nature Notary Public -State of F110
ure f No Public -State of FI r' ' °�"•• 0
: ;? Notary Public -S'
JAIME ORTIZ
Commission No� �2 `t of*)Public - State of Florid
'
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mmission N�b 2'Z1 4"H � comm.Ex
.:
Commission p GG 228444
'? MY Comm. Expires Jun 13, 20
ire
My Comm. Expire
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