HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONFOR APPUCATIoN TO BE ACCEPTED
Permit
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Building Permit
Planning and Development5ervices
Building and Code Regulation Division
2300 Vkginia Avenue, Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial
PERMIT TYPE: single family residence
.PROPOSED IMPROVEMENTtOCATION.
Address: '1416 Lone Pine Drive, Fort Pierce, Florida 34982
PropertyTax ID #: 3409-60"016-000-9
Site Plan Name: LONE PINE SUBDIVISION "
Project Name: Passman Residence ---LONE PINE
)ETAIIED i3ESCRtPTION QF WORK:.
construction of a single story CBS residence with 3 bedroomsAwo bathsAhree
square foot of living square foot of total
[ CONSTRUCTION INFORMATION:..
Additional work to be performed under this permit —check all that apply:
Lanical _rlumbing
nk _ Gas Piping _Shutters
_Zric _Sprinklers _Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor. _
Cost of Construction: $ 250,000 Utilities: —Sewer —Septic
) 9
t
Permitting Department
St. Lucie County, FL
Lot No. 11
Block No.
Windows/Doors
`Roof "' Pitch
Building Height:
{3INNEit/LESSEE:
CONTRACTOR:
Name Dennis A. and Sharon C. Passman
Address: 3711 South 25th Street
Name: Susan Barber, President
Company: GEM Builders, Inc
City; Fort Pierce , Fla _State:_
Zip Code: 34981 Fax: none
Phone No. 772-528.9M5
Address: 1321 Lone Pine Drive
City_ Fort Pierce, state: Fla.
Zip Code: 34982 Fax: none
Phone No 722-201-8434
E-Mail: pslah@acLcom
Fill In fee simple Title 4Holder on next page ( if different
from the Owner listed above)
E-Mail susiegem3@betisouth.net
State or County License STATE CRC036620
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC Is $7,5110 or more, a RECORDED Notice of Commencement is required.
Name: Raul R. Valeffa
Address: tie SE Naranjo Ave
City: Port et Ludo. Fla State: Fla
Zip:--34esz---Phone-maxi-z4s7�—--
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: same as owner
Address:
City:
Zip: _Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: NONE
Address:
City: State:
-Zip: Phone,. -
BONDING COMPANY: _Not Applicable
Name: , NONE
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as Indicated.
1 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 Assodation 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. Lude 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 OWNEW. YOUR FAILURE TO RECORD A NOTICE OF COMNFJIICEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NO IEMCEMEMT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPEC IF YOU INLFNQ1 TO STAIN FINANCING, CONSIXT
ni r tNITN Yn11O I,FYIfr77 ncretit aTTnumv umnOC zw mr_ vnrm tlnT f1WCYP' w.0 e
Signature of
as
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF sc Luie COUNTY OF sL Lade
The oing InstpiTe9t was acknowledgqd before me
.
thi day of 20a by
_ 1,-AAA 1DS5'A'r
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification „ .
Cojjppmi$$��ion � 061404
Commission No. "= ExplfERovember 16, 2021
%,h'iira``' Bonded thin Aaron Notary
REVIEWS I FRONT i ZONING I SUPERVISOR
COUNTER REVIEW REVIEW
Holder
The forgoing in u ent was acknowledged efore me
this _ day o Zo /"/,by
Name of person making statement.
Personally Known J/OR Produced Identification
Type of Identification
of NoWv Public- State of
Commission No.
PLANS I VEGETRPIB
REVIEW REVIEW I REVIEW
# GG 300817