HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �1 �—/
Date: 2127/19 Permit Numb �0S 'P
P. F%w A VED
•
� '- -' - - FEB 2 7 2019
Building permit App{i ativn
Planning and Development Services Perm Permitting
Building and Code Regulation Division St• Lucie Co p6rtmerIt
2300 Virginia Avenue,Fort Pierce FL 34982 Cl tyo FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residentia
PERMIT TYPE: DRIVEWAY REPLACEMENT
1?ROPOSED'IIV1PRpVEMENT LOCATION,; . , , . . y r
Address: 104 LOMAS CT
Property Tax ID#: Parcel ID: 3419-515-0162-000-9 Lot No. 5
Site Plan Name: Block No. 26
Project Name:
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DETAILED DESCRIPTION O bRK
Remove and replace existing driveway-same dimensions-3000psi 4"thick )y,
No Culvert
CONSTRUCTION INFQRM�yTlON _
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 800 Sq. Ft.of First Floor:
Cost of Construction:$ 2000.00 Utilities: —Sewer _Septic Building Height:
OUI/NERf LESSEE Y y CONTRACTOR
NameJohn Wilson Name:Jose Vides
Address:780 Lomas St Company:JosB Concrete Perfection
City: Port St Lucie State:_ Address:383 SW North Shore Blvd
Zip Code: 34952 Fax: City: Port St Lucie State:FL
Phone No.7722406170 Zip Code: 34986 Fax: None
E-Mail:N/A Phone No7728125066
Fill in fee simple Title Holder on next page(if different E-Mail josbconcreteperfection@hotmail.com
from the Owner listed above) State or County License 25230
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commerkement is required.
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SiIPPLEMENTICO;NSTICTION �.iEl"LAIN I�iF3Rl1JITiC�N �� ytt ��
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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:
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU D TO OBTAIN FINANCING, CONSULT
WITH YOUR KNDER OR AN ATTORNEY BEFORE RECORDING YOUR NO IC 011 COMMENCEMENT."
Signature of O ner ee actor as Agent for Owner Signature of Co rJLicense Ho er
STATE OF FL RID _`'""= STATE OF F RID
COUNTY OF = COUNTY OF
�riii.... .i16 Fr•.,
The for oing instru l t was acknowledged.before g� The forgoing instru nt was acknowledged before
thi day of 20 by a X�n this �<day of 20-14, by
o
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Name of person making statement. y s= Name of person making statement. _�o 0
ate`; a �$�
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Personally Known--"' OR Produced ldentifica N� Personally Known OR Produced Identifica �' G��W
Type of Identification R �� Type of Identificationit
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Produced N Produced �T=
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(Signature o N to Public-State of Florida) (Signature of Notaryublic-State of Florida
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.2/7/19