HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE C0MPLETERFqR,kfPUCATION TOB ,,ICCEPTER
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Planhifid and Develbpffidnt Ser0ites-
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Building-�� Co
and Division
2300 Virginia Avenue,Fort Pierce FL 34982
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Phone:(772)'462=1553-Fax:,(772)-4624578--
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PERMIT-APPLICATION FOR:
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Address:!-;,114 East Aldea,Street,, Port PtLucie:,F,L34952
Legal Description. RWdr'Park!'.Unit 3 Block 291Lot 4'
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Property,Tax ID#.,,R�341,9-51,5-,0240-00":%:-,-f�.:
�iace
29
Site Plan Narne':"'Aldea F Block No.-*7:7-
Project:Name:,!
nzSetbacks Front :
Right eSide'
78"
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cF 7 7"
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V 'T 112 40KS'CRW-,IONf,0�,` Wk`
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Remove ---d rivewa-y-,&-l—wailkway.
replace with new concrete driveway,12'x 38and new concrete walkway as it was o
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Aaditional worK to 0e efformed underthispermit–cheCKailmna py:
UHVAC GasTank-_ -Piping- S utters --- O-Windows/Doors-
E]Gas 7 'Z,
M"bin g. SP I tin ers' -Geinefraitior",;
Electric: ENO& Roof pitch
Total Sq.Ft of Construction:- ---- S Ft of First Floor:
Cost of Construction:$ 2,400.00 Utilities. —Seiver E]Septic Building Height;
30
Name John P.J.orge, nsen Name: John Rodgers
Address: 114 East Alden Sini6t Company: Rodgers Concrete
itv: For!St Lucie
C State: Address:_ 356 Palms Ave.
:Zip Code:,14952 -.,Fax: City:. 'F Pierce
State: L.
.7 -3827
-34982 7 Fa-x.
i732-236-5635; -T .72465
Phone'No'. Zip Cod
'E-Mail: Phone N 71 772-201-8165
7
Fill-lih f simple Title Holder on next-pgige if different -&-Mall: Rodgersconcrete@bmaii.com
from the Ownerfi0sted-above) State unty.License:, 19377
If value of construction is$200 or more,a RECORDED Notice of Commencement is required.
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�UPPLEMENTALCONRUCTIONLIENtAW�INFORMAT�OQ
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DESIGNER/ENGINEER:- x_' Not Applicable MORTGAGE COMPANY: _Not-Applicable"`'
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone 1-7 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: `K; _Not Applicable,
Name: Name:
Address: ,Address:
City: _.__._...__,...._ .. - ..__-_._.._ ...__. - ekt :,r,.
Zip-- - -Phone: Zip: _ Phone: -
OWNER/CONTRACTOR AFFIDVIT:Application-is-hereby made to obtain a permit to do the work and installation as indicated.
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 p6rmit holder tabuild the subject structure,,,i_.•
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 per applications are exempt from undergoing a full concurrency review:room-addiitions,> -
accessory•structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Yourfailure to Record a Notice of Commencement may re-sultin 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:
Signatu of Owner/Lessee/Contractor as Agent for Owner Signatur of Contractor/License.Hold E;•
STATE OF FLORIDA ' � ..,,.
COUNTY OF S.-.�Ca2� s 'COUNTY OFSTATE OF ORIDA �A `
The f rgoing instrument was acknowledg efore me The forgoing in ent was acknowledged before_ me
this f da o0h 201 Uby this day of 2613"
Nam ' f person making-state nt === Na ofprson making sta ent
Personally Kn• n : —AOR Produced Identification, Personally Kn wn �•1 OR Produced Identification,
Type of Identification "` Type ofldentification
Produced Produced ,. f
nat a of Notary Public-State Florid (Signa re of Notary Public-State of lorida,f
„„�,,, r A5NAt1NA INGRAM LAS ,..HiVP 1IGP.AM
Commission N o"Y (Seet(3te:of-Florida. Commission- o. oPR '�s (Seal
PubL' 201.
o�'� } DEC 20, $ vuiai�-j U�iIC uCaT@„ f Floris
=My Gomm.Ex[iite ' - - -
•■ - EF 17724 •i My Corrin.ERpires Dec 2.t7,ZC;:
♦ + eZ �OmmISSIOn nay o`: SsiOtt FF 177249
- o�f`0•'AREVIEW
B nded through Plahonah!otary Rssn.
pd :-,REVIEWS F- ZONTNG- S PE R PLANS _ _SE TURTLE %MANGROVE'LINTEREVIEW r;;_, REVIEW REVIEW REVIEW ' " ::'REVIEW,
- -
DATE
-RECEIVED
DATE -,f . .
COMPLETED
Rev.8/2/17
PLANNING & DEVELOPMENT SF RVICES DEPARTMENT
Building&Code Regula ions Division
• 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34 82-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
114 East Aldea Street, Port St. Lucie, Florida 3 952
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP N mber , I acknowledge
that as owner of the above described prope , and in accordance with Section
7.04.01(D); St. Lucie County Land Development �ode,I shall be responsible for assuring
adequate drainage so that the immediate comm ty WILL NOT be adversely affected.
I further acknowledge that in granting this permi for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which wil not adversely affect the immediate
community.
John P Jorgensen
Pro weer le a Print)
2- 7 _1
operty Owner Si Date
Tj
' NG
STATE OFA COUNTY OF G�-O—n b u r
ACKNOWLEDGED BEFORE ME THIS DAY OF �U k-4 20
BY�J � �• b� n S e r WHO IS PERSONALLY KNOWN TO ME(b OR WHO HAS
PRODUCED—i Y— -b{ qu er 1 k Q-n sc AS IDENTIFICATION.
b ! nt c) Ylc
SIGNATURE OF NOTARY PUBLIC TYPE OR PRI NT NOTARY
✓� �aa COMMISSION NUMBER
(SEAL)
Mania Brno
NOTARY PUBLIC
SLCPDSD Revised 04/11/2011 McWenburg County,North Carol"
My Commisalon Ezplres Apol 24,2022
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114 E Aldea
Port Saint Lucie,FL34S62
.......... ........... ................... ............. .......... .............
$146,044 $100,000 2 2
RodfinEoUmota Last Sold Price | Beds } Baths �
-,--__-� - [
$113/Sq.Ft. �
Built:1971 �
Closed ..._________________ __
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