HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPUCAXION Tb BE ACCEPTED
Date: d 1 l' t n ( PermitNw
11111111111111110 Building Permit Appl
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
b
KMXIVE
AUG 19 2019
RlIlIting Department
St. Lucie County, FL
Residential x
PERMIT TYPE:residential, single family residence SCANNED I
IPROPOSED IMP OVEMENT LOCATION: Gil 1 .._`='n_.._c. _ I
Address:
Property Tax ID #: 2Q 1 1 - 60 1 - 00(oS 000— 0
Site Plan Name: )CL� Gof- et,5� fui )er(,<-�
1017N 3
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
LotNo.1,2, 10, 11
Block No.
Additional work to be performed under this permit -check all that apply:
Mechanical _Gas Tank _Gas Piping _Shutters ✓Windows/Doors
✓Electric Plumbing _Sprinklers _Generator ✓Roof Lc 2 Pitch
Total Sq. Ft of Construction: �rJ�j Sq. Ft. of First Floor: aCQ(o AjO_ a S53 ia�a�
Cost of Construction: $ a L4is , i - , 00 Utilities: _ Sewer )� Septic Building Height: 1� ' 4
OW N E RAESSEE:
CONTRACTOR:
Name
S
Name: Andrew Nadalin
Address: 215 0-0Vtnnt: Rc)cy,
Company: Pace 2000. Inc
City: F•Ori- 1��erC� State: Ft
Zip Code: 3-4q W5 Fax:
Phone No. —11 a -J70 -3 q� %
Address:445 NW Prima Vista Blvd
City: Port St Lucie State: FL
Zip Code: 34983 Fax: 772-340-7304
Phone No 772-340-7223
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail admin@pace2000homes.com
State or County License CBC059859
value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFOAMATION:
DESIGNER/ENGINEER: Not Applicable
Name: Joseph McCarty Architect
MORTG.9GE COMP NY: Not Applicable
Name: (anlrivJCalfa' i�CLr�I
Address: 900 SE Osceola Street
.
Addre s: 2525 EComrIVOLK
S-1ICO
City: Stuart State: FL
Zip: 34994 Phone 772-497-6932
City: Vh rlt
Zip: gc,7nVn Phone:
Stater
R00 281- h�1�Ilo
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY:
Name:
X 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 hrestrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions wich 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 LENM OR—JUNATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:"
Signature of Owner/ Lessee/Contr-50for as Agent for Owner
STATE OF FLORIDA
COUNTY OF_Gt 1 1 trip
The for oing instr ent was acknowledge efore me
this dayof J77by
4Yl�l)0l 00_d Jin
Name of person making statement.
Personally Known ✓ OR Produced Identification
Type of Identification
Produced
(Signature of Notary Pull ic- State of Florida
/�1T/' ` F., Paula S. Breier
Commission N0.6t = CcOw j00 It 66030843
' Expires. September 15, 2020
REVIEWS I FRONT ZONING
COUNTER REVIEW
COMPLETED
re
STATE OF FLORIDA
COUNTY OF St I iir
The fpigoing instrpmentt was aPknowledgedbefore me
this tj day of IfUjgi(L �f 20 Jby
ArtiladoJin
Name of person making statement.
Personally Known V OR Produced Identification
Type of Identification
Produced
(Signature of Notary Pub{ c-State otf,= gf{ga
Commission
S EGETATIEATURT
REVIEW UPERVISOR REVIEW I PLANSVREV EWON I S REV EWLE
Paula S. Breler
lissioa B GG0.
s: September 15,
MANGROVE
REVIEW