HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED PermitNumber: IV-wo—
BY
St. Lucie County
RECEIVED
Planning and Development Services Building Permit Application SEP r I * 3.201B
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie county
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PR OPOSEDI - M-PROVE - MENTLOCATIO'N:
-7 COn S 05%
J1 — — - . - -
Legal Description: PRIMA VISTA CROSSINGS REPLATAT NO, 3 (PB 43-2) LOT 3 (OR 1803-2635)
Property Tax I D #: 3422-858-0003-000-1
Site Plan Name:
Project Name: PNC PRIMA VISTA
Setbacks Front ----Back:
DETAILED DESCRIPTION OF WORK:
ADA
CONSTRUCTION INFOR
11HVAC Gas Tank
1:1 Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 187,000
Sicl!�� �eicle:
nn — cneCK all a pply:
P Shutters
nklers Generator
S Ft of First Floor:
Utilities"'n Sewer E]Septic
Lot No.
Block No.
OWindows/Doors
0 Roof = Roof pitch
Building Height:
OWNER/ILESSIEE:
CONTRACTOR:
Name PNC Bank NA
Name: Tv iC I 4L A VbhJdtJ
Address: 205 Datura Street
company: Vericon Construction Company LLC
City: West Palm Beach, State: FL
Zip Code: . 33401 Fax: 561-803-9999
Phone No. 561-803-9790
Address: /063 Rov4-e_ c'29 4FA51'
City: State: NJ
Zip Code: 07092 Fax:
Phone No. 954-595-4410
E-Mail: RS Flodda@PNC.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: tbeniaminwatson@vericonbuilds.com
State or County License: CGC1521021
it value at construction is 52500 or more, a RECORDED Notice of Commencement is required.
'SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ER/ENG IN EER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _NotApplicable
BONDING COMPANY: —Not Applicable
Name:
Name:
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 Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conlylict 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 jobsite
before the first inspection. If you intend to obtain fina . consult with lender or an attorney before
commencing work or recording your Notice of Com encem t.
4n Ire &cfCoontractor/License
Signature of Owner/ Lessee/Contractor as Agent for Owner
Hblder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF FlociArk
COUNTY OFAMVVIO
The forgoing instrument was acknowledged before me
thlsD�Aclayof A,,mu-sA 20 _ff by
The forgoing mist ment was a knowledgie6before me
this', day o 201A by
ta day o
Michael Garber PNC Bank NA Property Manager/Offimr
MCA_Q_y5tXLAf1
Name of person making statement
Personally Known OR Produced �Yegffi%a.%
Type of Identification
Produced NOTARYPUBLIC
_AlkmTE OF FLORIDA
Nam e of �e on my aking statement
Personally Known OR Produced Identification
Type of Identification
Produced
-A
a
Comn* GG061005
% Vie
�nj I Expires 1/2712021
SAMANTHA FENDER
rState of Florida.NotarY Publi
-E commission# FF932266
(Signature of Notary Public- State of Florida
BRIM on Expifes
(SignaVe of Notary PubIll -_9W,�VFIoj11`oaa0rober 29, 2019
Ct
Commission No. (Sea[)
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LRev 8/2/17