HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �Cl • SCANNED Permit Number:
rt_+r j St.Lu eCountyVED
•
Building Permit Application NOV -8 2019
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
Re
Permitting uepdrtmer
St. ucie County, FL
'
PERMIT TYPE: New residential
'PROPOSE 0,1MMOVEMENT LOCATION:
Address: Tree top Trail, Ft. Pierce FI.
I
Property Tax ID #: 141821400150001
Lot No.
Site Plan Name: Hayes/Holden
Block No.
Project Name: Hayes/Holden
DETAILED" 4CRIPTION OF WORK'. i
Construct CBS 3 , 2 bath, 2 car garage Residence
Add itii al work to be performed under this permit — check all that apply:
ZVMechanical _Gas Tank _Gas Piping _Shutters
Electric V'Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction: 2731
Cost of Construction: $ $285,000
(Windows/Doors
_jGRoof Pitch
Sq: Ft. of First Floor: 2731
Utilities: _Sewer LZ'Septic Building Height:20
OW.NERfLESSEE:
G. P°
CONTRACTOR: Y. ;
X rs F raa+�7
Name Anna Hayes, Caleb Holden
Name: David Golden
Address:201 Rosewood Dr.
Company: Dave Golden Homes
City: Ft. Pierce State: _
Zip Code: 34947 Fax:
Phone No.772-332-1103
Address.4900 Indrio Rd.
City: FT.Pierce State, fl
Zip Code: 34951 Fax:
Phone No 772-466-0829
E-Mail: /%iYl//A/Lq;/FS p9A/G.y5F —C&
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail dave@davegoldenhomes.com
State or County License cbc1253198
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.
SUPPLEMENTAL CONSTRUCTION L".IEN LAW INFORMATION:
777777777
k: ,
DESIGNER/ENGINEER:
Name: 11n)h % 6, Du
_ Not Applicable
"
MORTGAGE COMPANY:
Name:
_ Not Applicable
14.,V4/Ti/�uo�
Address: Si Sr & I
40 v
Address: 3Oo,F S.Adf-
City: -F /J.�ncL
Zip:_;-t4a1 Phone�/hz
State: /
W0 /007
City: L Z4 e F/
Zip: 3 3gds Phone:
State: y
- 1. g g- 'fy
FEE SIMPLE TITLEHOLDER:
Name:
_ 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 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 IM ROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ONE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU IN D TO OBTAIN FlNANCING, CONSULT
WITH YOURLENDER OR AN,ATTORNEY BEFORE RECORDING YOUR NOFIEE OF COMMENCEMENT."
Signature Owner/ Lessee/ ontractor as Agent for Owner
SignatuArV Contr ctor/Lice se Holder
STATE OF FLORIDA //
51-4'-"
STATE OF FLORIDA
S17-1UGrf
COUNTY OF
COUNTY OF
The fo oing instrument was acknowledged before me
this day of 4"/ 120 by
The for,�Ping instrumgn�t w s acknowledged before me
this Yr day of ///y� 201 by
rDa�y)d 6-0lclen
Name of person making statement.
Name of person making statement.
Personally Known ! OR Produced Identification
Personally Known � OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Op
a �5, e�6)aim -
c _re,,v
(Signature of Nota -
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(Signature of Nota ub ic- State of Florida )
•fir>(: •-., AUDREY B. HUMPHREY
Comm( $6n try`: IIy ODnnn�rsaioN 7F GG 30f(al)�
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a
$ __
Commission r,:•7s:'t?�'•. AUL'REY B. HUMI(®Lb'n
EXPIRES: March 6, 2023
= %';;: MY COMMISSION N GG 300817
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DATE
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DATE
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ev. 211119