HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED MI
Date: Permit Number: •Dab
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"��.W 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 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 4919 Tamoka Ct
Legal Description: HOLIDAY PINES S/D-PHASE II-B-LOT 333(MAP 13/13N)(OR 2979-1860;3332-1819)
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Property Tax;ID#: 1312-801-0136-000-2 Lot No.
Site Plan Name: Block No.
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Project Name:
Setbacks Front 0 Back: 65 Right Side: 38 Left Side: 13
DETAILED DESCRIPTION OF WORK:
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remove and replace driveway
-k00PSI with fiber mesh
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CONSTRUCTION INFORMATION:
Mclitional work toe nertormed under this permit—check a appy:
HVAC' 0 Gas Tank E]Gas Piping _Shutters Q Windows/Doors
j El Electric 0 Plumbing 0 Sprinklers ElGenerator E] Roof Roof pitch
Total Sq.Ft of Construction: S Ft.of First Floor:
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Cost of Construction:$ Z 30 D Utilities: _Sewer Septic Building Height:
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?OWNER/LESSEE: CONTRACTOR:
Name Noreen Hayes Name: Juan Moran
4919 Tamoka Ct Cove Concrete
Address: Company:
'City: Fort pierce State:fl Address: 9156 104th ave
Zip Code: 34951 Fax: City: Vero beach State:FI
Phone No.7724533434 Zip Code: 32967 Fax:
E-Mail:CoveConcrete@gmaii.com Phone No. 7724533434
!Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: CRC133029
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 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
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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.
VL''h rte s
Sign of Owner/ essee/Contractor as Agent for Owner Signature o ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF COUNTY OFA r
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this \l.o day'of _ 201'), by this (a day of20 by
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(Name o person acknowledging) (Name of erson acknowledging)
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(Si nature of;Notary Public-State of Florida (Signature of Notary Public-Latef Florida�) L)
(Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificat'o _ j Type of Identification Produced
IMGRAM4"ING
Commission No. � , '�"• hs. WCflMMGG27
Commission No.
f ��3 EXPIRES:December 20.2022 NA INGRAM•RAHMING
• aF.,e� N pVg �: *• MY COMMISSION#GG 215060
Revised 07/15/2014 ��RF`'P••,,Bonded ThrallolaryPd* tis
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS