HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: �909053-7
Date:
SCANNED
BY
St. Lucie County
Building Permit Application
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
PERMIT TYPE:
PROPOSED IMPROVEMENT LpGATION:
Address: 115
Property Tax ID #: 2318-131-0001-000-2
Site Plan Name: Clark Residence
Project Name: Clark Residence
OF WORK:
New 2400SF Single family custom home
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
RECEIVED
SFP 2 6 20I9
Permitting p
St LucYe CoePertmeunty nt
Residential X
Lot No.
Block No.
Mechanical _Gas Tank _Gas Piping _Shutters x Windows/Doors
x_Electric x_Plumbing /_Sprinklers _Generator x Roof 6/17. Pitch
Total Sq. Ft of Construction: 37C V Sq. Ft. of First Floor: 3700SF (�—
Cost of Construction: $ 000. Utilities: _Sewer x Septic Building Height: 20'
OWNER/LESSEE:
CONTRACTOR:
Name Daryl & Tara Clark
Name: Jared Modine
Address: 619 Beach Ave
Company: Cole Construction Services, LLC
City: Port St Lucie State: _
Zip Code: 34952 Fax:
Phone No.772-216-7704
Address: 497 S. Brocksmith Road
City: Ft Pierce State: FL
Zip Code: 34945 Fax:
Phone No 772-519-0558
E-Mail: darylsgir188@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail coleconstruction@hotmail.com
State or County License CGC1520537
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.
33 7
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Na me: Frank Llebler
MORTGAGE COMPANY:
Name: Centerstate Bank
_ Not Applicable
Address:
Address:
City: State:
Zip: Phone 772-3214500
City:
Zip: Phone:
State:
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 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 AIII ATTORNEY BEFORE RECORDING YOUR NOTII:E OF COMMENCEMENT."
ure of Owner Contractor as Agent for O ne
Signa re Contractor/License r
E OFF ORA
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The forgoing instrument was acknowledged before me
this �7_1( dayof 5ae(r�l— 261 � by
The forgoing instrument yvas acknowledged before me
thisZL( day of SEeP-t,-,hz- ,20j,by
Name of pelison making tatement.
Personally Known 77 OR Produced Identification
Name of person making statement.
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary Publi&St6te of Flon
Signature of Notaryublic-State of Florida
Commission No. 1 K1 °6.,fi m Public state of Florida
M il1 tier
My Commission GG 189140
) Expires 02/2212022
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
RTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
11
DATE
COMPLETED
Rev.2/7/19