HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/11(19 1 A. Permit Number:
SCANNED
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
BY
�kk Lode County RECEIVED
Building Permit Applicati n NOV 13 2019
ST. Lucie County, Permitting
Commercial Residential X
PERMITTYPE: Detached pavillion/garage
PROPOSED IMPROVEMENT LOCATION'[
Address: 5421 Stately Oaks Street, Fort Pierce FL
Property Tax ID #: 3404-711-0005-000-7
Site Plan Name: Southern Oaks Estates
Project Name:
Lot No.17
Block No.
f DETAILED DESCRIPTION OF WORK:
16' x 32 covered gZ(agp4/jp rear of property +n hr G—Anr- ,4 -,-)r1 nr Ar-,
1CONSTRUCTION'INFORMATION: f
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 1216 Pitch
Total Sq. Ft of Construction: 512 Sq. Ft. of First Floor: 512
Cost of Construction: 00 Utilities: —Sewer _Septic Building Height: ) L n
OWNER/LESSEE:
CONTRACTOR:
Name David and Susan Munyan
Name:Andrew Nadalin
Address:2601 Covenant Drive
Company:Pace 2000, Inc.
City: Fort Pierce State: FL
Zip Code: 34981 Fax:
Phone No.772-979-5008
Address:4 5 NW Prima Vista Blvd.
City: Port St Lucie State: FL
Zip Code: 34983 Fax: 772-M-7304
Phone No772-340-7223
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
E-Mail admin(Ppace2000homes.com
State or County LicenseCBC059859
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.
SUPPLEMEN TALCONSTRUCTIQN'LIEN IAUV.INFQRIVIATION _
>-
a -•�� d
DESIGNE ENGINEER: Not Applicable
Na me: iwePh mccwty achhea
MORTGAGE COMPANY:
Name:
Address:
Not Applicable
Address: 900SEo�IaS�
City: stuM State: FL
Zip: 34ss4 Phone77"79-ewe
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
Address:
BONDING COMPANY:
Name:
Not Applicable
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 ORLANnIZZURNEVIREFORE RECORDING YOUR NOTICE OF COMMENCEMENT"
Signature of Ow r/ Lessee/Contractor as Agent for Owner
SoitOrerofCpntrirdo r/License Ho1-der V
STATE OF FL RID`� " "
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STATE OF FLORIDA
COUNTY OF 1
COUNTY OF
The f rgoing instrumentwas acknowledge efore me
acknowledge
The forgoing instrument was acknowledged before me
this day of be
this _ day of . 20_ by
_Anil reu) i.lad lih
Name of person making
Name of person making statement.
/statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Produced
� � (�
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I (.( -c-�x.� . Paula S. Breier
(Signature of Notary Pub) c-Mt a j4eibmission i 0 09
(Signature of Notary Public- State of Florida)
: Expires: Septembaz15,202
3n,,,,,,'
Commission No. (�@Illkd UIN Aaron Kota
Commission No. (Seal)
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