HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/04/19 SCANNED Permit Number: �`� tl-d545
BY
r: 1 4 •� '_ - "_ i St. Lucie County RECEIVED
•
�- Building Permit ApplicationDEC 1 9 2019
Planning and Development Services Sr. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: Addition -Type 1113
PROPOSED IMPROVEMENT LOCATION:
Address: 12811 NW Cinnamon
Property Tax ID #: 4425-602-0017-000-7
Site Plan Name:
Project Name: CINNAMON VILLAGE HARBOUR RIDGE -PLAT 3- UNIT 5
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
Add golf cart garage onto existing attached garage.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/ tors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof ��� Pitch
Total Sq. Ft of Construction: 124
Cost of Construction: $ 25,000
Sq. Ft. of First Floor: 124
Utilities: X sewer. _Septic• Building Height:
1�—
OWNER/LESSEE:
CONTRACTOR:
Name Cesar Solorzano
Name: Forrest R Smith
Address: 12811 NW Cinnamon Way
Company:Southem Standard Builders, LLC
City: Palm City
���� State: �
Zip Code F Fax:
Phone No.
Address:3202 Condrey Ct
City: The Villages State:FL
Zip Code: 32163 Fax: 772-398-8534
Phone No 772-398-8533
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail southemstd@bellsouth.net
State or County License CGC1511294
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. _
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
Name: M.A. Corson & Associates, Inc
Add ress:1121 SE ocean Blvd
City: Stuart State: FL
Zip: 34996 Phone 772-223.8227
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:Owner-100%
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 OBTAI FINANCIN , CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM ENT."
Signature of Owner/L4'see/gontra&of as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA ,
STATE OF FLORIDA ,
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Name of person m king statement.
Name of person making statement.
Personally Known OR Produced Identi
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Personally Known OR Produced Identification
Type of Identification
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Type of Identification
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:: pe`% Commission R GG 316853
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(Si a of Notary Public- State of Florida )
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Commission No.�a)(01(o�b (Seal
Commission No.
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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DATE
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DATE
COMPLETED
Rev.2/7/19 1 1/