HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: PermitNumber:
RUP ff f 5 fla 17-6C5 RECEIVED
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia.Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Applical ion AU6 0 8 '?019
ST. Lwrm County, Permitting
Commercial Residential x
I PERMITTYPE:BUILDING C%& a PY- - I
Address: XXXX RIVERBEND TERRACE, PORT ST
FL 34953
Property Tax ID #: 4422-502-0006-000-1 Lot N0.2
Site Plan Name: BAY ST. LUCIE Block No.
Project Name: TARABA RESIDENCE
enNSTRUCTION OF SINGLE FAMILY RESIDENCE
Additional work to be performed under this permit —check all that apply:
)( Mechanical — GasTank —Gas Piping — Shutters
V Electric
Plumbing Sprinklers
Total Sq. Ft of Construction: 4,490
Cost of Construction: $ 175000.00
4 Windows/Doors
Generator Roof Pitch
Sq. Ft. of First Floor* 4,490
Utilities: )(�)<r �_Septic) Building Hegll* —
'�8'EE
J4 I
Name Christopher Taraba
Name: Ryan Davis
Address: 672 SW McCall Road
Company:Synergy Homes, LLC
City: Port St. Lucie State:
Zip Code: 34953 Fax:
Phone No. 561-410-0108
Address- 1610 Yarmouth Ave
City: Wellington State- FL
Zip Code: 33414 Fax:
Phone No561-623-0476 Ext 1
E-Mail: chris@cmtproductionsdj.com
Fill in fee simple Title Holder an next page if different
from the Owner listed above)
E-Mail ryan@synergyhomesfl.com
State or County License CEIC1 254289
If value of construction is $2500 or more, a RECORDED Notice of ornmencementis required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
N a m e: GOARCH ENGINEERING
Not Applicable
MORTGAGE COMPANY:
N a m e: SEACOAST NATIONAL BANK
Not Applicable
Ad d ress: 4994 LUOUI COURT
Address: 3WI PGA BLVD., STE 2W
City: WEST PALM BEACH State: FL
Zip: 33415 Phone 561-294-6929 -
City: PALM BEACH GARDENS State: FL
Zip: 3mici Phone: 561-309-7416
FEE SIMPLE TITLE HOLDER:
Name:
1� 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 Count makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in cc) 1xict with any applicable Home Owners Association rules, bylaws or ang 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 IMPROYEMEhITS 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."
Signathre of Owner/ Lessee/Contractor as Agent �r
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFPALm BEACH
COUNTY OFPAWBEACH
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged
before me
this m day of AUGUST 20 by
this STH day of AUGUST 20
by
RYAN DAVIS
RYAN DAVIS
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced—
Produced
(Sid —nature of N
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(S�ignatur
A L
DE ..JOHNSON
Commission No
Commissi
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M COM S IONOGG251845
eal)
y 17,2021
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