HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO/ IMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l �]
Date: � & IL Permit Number:
_ _ WANNER
Building Permit Application BY
Planning and Development Services St. Lucie CountY
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Building III
Address: 17600 Pineapple Lane, Fort Pierce, FL 34945
Legal Description: 14 35 38 W 300 FT OF S 874.50 FT OF SW 114 OF NE 114 OF SEC 14- LESS S 124.5 FT- (5.17 AC- 225,000 SF) (OR 3532-1145)
PropertyTax ID q: 2214-131-0002-000-0
Lot No.
Site Plan Name: Modine Residence
Block No.
Project Name: Modine Residence
Setbacks Front 226.1 Back: 452.1
Right Side:
143.0 Left Side: 76.0
;DETAILED=DESCRIPTION OFrWORK:m
�"*k..
Construction of new residence
jaitionalworKtooe
❑✓— HVAC
Electric
errormea
unaertmspermit — cnecKau inat apply:
Gas Tank []Gas Piping Shutters
Sprinklers. Generator gRoof
Windows/Doors
✓❑_Plumbing
Total Sq. Ft of Construction: 5034.3
Cost of Construction: $ 200,000.00
S Ft. of First Floor: 5034.3
Utilities: Sewer W1 Septic
Building Height:
Name Jonathan & Alyssa Modine
Name: Owner Builder
Address:4320 2nd Street
Company:
City: Vero Beach State: FL
Zip Code: 32968 Fax:772-466-2806
Phone No. 772-465-2475
Address:
City:
Zip Code: _ Fax:
Phone No.
State: FL
E-Mail: alyssa.modine@pjsi.com orjody.modine@pjsi.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail:
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
.-P
SUPPLEMENTAL CONSTRUCTION LIEN'LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name: Paul Welch P.E.
MORTGAGE COMPANY: _
Name: Harbor Community Bank
Not Applicable
Address: 19e4 SW Biltmore St, Ste 114
Address: 2222 Colonial Road
City: Port St. Lucie State: FL
Zip: 34984 Phone: 772-765-968e
City: Fort Plerce
Zip: 34950 Phone: 772-597-2161
State: FL
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: Jonathan &Alyssa Modine
BONDING COMPANY: x
Name:
Not Applicable
Address: 4320 end St
Address:
City: VeroBeach
City:
Zip: 32966 Phone: 772-216-1867
Zip: Phone:
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: roam 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 jobsite
before the first inspection. If you intend to obtain financing, conpgIt with lender or an attorney before
commencing work or recording vour Notice of Commencentent.l\ - _ I,-,
Lessee
STAFTE'OF FLORIDA
COUNTY OF sL Lace
STATE OF FLORIDA
COUNTY OF
Holder
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this64-hdayof NOVLmbzr . 20 14 by
this _ day of 20 14 by
Jonathan Modlnel
(Name of person cknowledging)
(Name of person acknowledging )
(Signature of NotA Public- State of Florida)
(Signature of Notary Public -State of Florida )
Personally Known x OR Produced Identification
Personally Known OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. A'fn
cye` Notary Public State of Florida
ommission No. (Seal)
cyW
^ Nichole Kraum
7q? ~ff
Revised 07/15/2014 _ Of;,`oExpires 01111/2015
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