HomeMy WebLinkAboutBuilding Permit Application J
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
. 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 Commeial Residential X
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PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
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Address: 6116 Santa Margarito DR
Legal Description: 6116 Santa Margarito DR
Property Tax ID#: 1312-501-0037-000-7 Lot No.102
Site Plan Name: Block No. PB 43-6
Project Name:
Setbacks Front 55 Back: 10 Right Side: 15 Left Side: 5
DETAILED DESCRIPTION OF WORK:
- remove Pavers
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- Install concrete 4 inches in depth 3000PSI with fiber mesh
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CONSTRUCTION INFORMATION:
Additional work to bpne fformeclunder this permit—check all appy:
HVAC LJ Gas Tank Gas Piping _Shutters a Windows/Doors
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Electric 0 Plumbing O Sprinklers Generator F] Roof Roof pitch
Total Sq. Ft of Construction: Scl. Ft.of First Floor:
Cost of Construction:$ Utilities: Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:'
Name Stephane Houle Name: Juan Moran
Address:6116 Santa Margarito DR Company: Cove Concrete!'
City: Fort.pierce State:_ Address: 9156 104th ave
Zip Code: 34951 Fax: City: Vero Beach State:FL
Phone No.514 240 1870 Zip Code: 32967 i Fax:
E-Mail: Phone No. 772 453 3434
Fill in fee simple Title Holder on next page(if different E-Mail: Coveconcrete@gmail.com
from the Owner listed above) State or County License: CRC1331029
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:'
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and co'venants'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 financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLQRID STATE OF FL RIDA
COUNTY OF IKc I G( �iycp_ COUNTY OF JY1 kkX!8 IIS VZI�.
The forgoing instrume t was acknowledged before me The forgoing instrument was acknowledged before me
this_&L day of 20 Lby this day of r��(.� 20 J3_by
(Name of person acknowledging) (Name of person acknowledging)
Signature of Notary PubTitt-State of Florida) Signature of Notary Public-State of Florida)
Personally Known ✓ OR Produced Identification Personally Known �OR Produced Identification
Type of Identification Produced Type of Identification lProduced L
Commission N61t mission IN C�U�q S p S
(z) GRISELDAARMAS GRISELOAARMAS
110100
' MY COMMISSION#(iG01 565 =�,. ��� MY COMMISSION#GG019
NES:AUG , 020 EXPIRES:AUG 09,2020
Revised 07/15/2014 "OL` Bonded through 1st State Insuraneg N Bonded through 19t State Ins
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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