HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO
OOAMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED —D
Date: • l �' Permit Numb /101
(�J
REcEIVEED
Building Permit Application JUN 26 2018
Planning and Development Services Permitting Department
Building and Code Regulation Division g p
2300 Virginia Avenue,Fort'Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial --
PERMIT APPLICATION FOR: Concrete 7-
"PROPOSED,1 M,P'.ROVEM E NT;.LOCATION
Address: 6511 DELEON AVE
Legal Description: LAKEWOOD PARK LOT 12 BL 105
Property Tax ID#: 1301-611-0090-000-0 Lot No.12
Site Plan Name: Block No. 105
Project Name: NEW DRIVEWAY
Setbacks Front Back: (� I Right Side: Left Side: 1
DETAILED:,DESCRIPTION;OF WORK
REMOVE AND REPLACE EXISTING CONCRETE DRIVEWAY SAME FOOTPRINT OTHER THAN
ADDING A SIDE DRIVE 8 FEET X 24 FEET APPROX 850 SQ FEET TOTAL WITH NEW CULVERT
3n d o ?ST K// F )re 1f14
CO;NSTRUCTION°' INFORMATION:
Acid itional work to e e Orme under this permit-c ec a appy:
HVAC 0 Gas Tank Gas Piping _Shutters Windows/Doors
❑ a
Electric ❑ Plumbing OSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
�
Cost of Construction:$ �451190. 19 C2 Utilities:Sewer E]Septic Building Height:
OWNER/LESSEE , CONTRACTOR•
Name__ G�� o C u v Name:
Address: 65-11 Q -e- L e vrt V z Company: MARK A. ODOM CONSTRUCTION INC.
City: ' p-4-t P.,tf`c -_ State:FL Address: y35s - Z h <1'r 'L
Zip Code: 34951 Fax: City: H ^J $3 i <_L,, State:FL
Phone No. 767- OS`6 Zip Code: 32968 Fax:
E-Mail: Phone No. 772-473-0046
Fill in fee simple Title Holder on next page(if different E-Mail: MARKODOMCONSTRUCTIONINC@GMAIL.COM
from the Owner listed above) State or County License: CBC018696
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN'LAW INFORMATION
..t
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address:6511 DELEON AVE Address:
City: State: City: H 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:
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 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.
Signature of Owne essee/Contractor as Agent for Owner Signature Contractor/License Holder
STATE OF FLORIDA 0 STATE OF FLORIDA e
COUNTY OF �' COUNTY OF
The forgoing instr ent was acknowledged.before The forgoing instr nt was acknowledged before p o z
this day of 20� by o; thi�day of 20,4Py m ..
Cog
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Name of person making statement "' Name of person making statement
Personally Known t/ OR Produced Identificati Personally Known"' OR Produced Identificat n ,
Type of Identification = AwtType of Identification
Produced °' Produced
�`-
(Signature of Notary blic-State of Florida) (Signature of Notary Publi(/State of Florida) V 7
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17