HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p
Date: .. a Permit Number:
RECEIVED
® FEB 2 7 2919
Building Permit Applic tjgp,,,�County, Permitting
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 TYPE: DRIVEWAY
PROPOSED IMPROVEMENT.LOCATION
Address: 5410 HICKORY DRIVE, FORT PIERCE, FL-34982
Property Tax ID#: 3402-60970224-000-8 Lot No. 7
Site Plan Name: DUEL DRIVEWAY WARNACK Block No: 58
Project Name: ,DRIVEWAY
DETAILED DESCRIPTION OF: OR :R_
TEAR OUT EXISTINGDRIVEWAY 1O:WIDE,ADDING ANEW DRIVEWAY ON OPPOSITE SIDE 10'WIDE '
4'WIDE SIDEWALK BETWEEN DRIVEWAYS BY THE HOUSE 'X)
NEW CULVERT PIPES. CONCRETE WILL BE 2500 PSI WITH FIBER MESH '`'T�y I�k
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
_Mechanical _.Gas Tank Gas Piping _Shutters _Window's/Doors '
_Electric _Plumbing -Sprinklers _Generator _Roof r '� : ;Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 2500 ' Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: = CONTRACTOR:
Name RANDALL R WARNACK Name: JOHN RODGERS ,'..
Address: 54.10 HICKORY DRIVE 1 Company: JOHN.RODGERS CONCRETE
City: FORT-PIERCE State:_ Address: 355 PALMS AVE
Zip Code:' 34982 Fax: City: FORT PIERCE State: FIL
Phone No. Zip Code: -349.82 Fax: 772-465-3827
E-Mail: Phone-No 772-201=8165 .
Fill in fee simple Title Holder on next page(if different E-Mail RODGERSCONCRETE@GMAIL.COM
from the Owner listed above) State or County License 19377
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 Commencement is required.
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:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the workand 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 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 FIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOPR NOTICE OF COMMENCEMENT."
Signatur of caner Les e / ctor at for Owner Sign a Contractor/Lic nse of -
STATE OF FLORkDA STA OF FLORIDA
COUNTY OF SV• �-Ot- COUNTY OF % ct�t
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this L�day of Y-a 20A .by this�day of �c • .. ,26-_\J, by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary,Public-State of Florida) (Signature of Notary
'r'eu DEANNA MARIE GIVENS
r,�aIE GIVEN3- =q .
Commission No.� =SgM [N#GG 022029 Commission No.�da MY��I %ION#GG 022023
•' �'•• MY COMMIS%,,mbar 16 2020 :;? Ex ecember 16,2020
;*c �CPIRES:Ooce c Undarwrite�s ;oF F�� '' Bonded Thru Notary Public Underwriters
��rFO. ` Bonded .
REVIEWS FR SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COU R REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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Sr.Lucie County,Permitting
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DESCRIPT10Ei:• '
Being Lot :>r/ '.., Blacic A8 i in.-the sub-. : CITIFIED TO::
division of.-XAV- M:.;¢rvE�p E,si;,Mr , U�rr Ads , City Federal 3pvin 8 Hank'
as recorded in'Plai Book '`.'!a' ; on Page V-3., .Associated hand• Title Group
of the Pub11c Records of:.,S,4 tum- ' Randall Rey Warnack
County, Florida: :.'
Surveyor's Notest Ia8EE11AFxIlTiQR1S>E�DEtflllt0Al0YfllINEDNfAifEBiallMlEErTMf0AY0ARAiE0F1lE(tB�
1, Lands shown hereon were not Abstracted WMAIR MW 9 AIOiIE HEMI Ngo•ID NSM1190 RIUD4M S AMM 11
for Rights of Nay,a,id{»R:Easements:of.:,recon..d,.3UAYEr0V1TdlIfTa0FS11AlE1TdITiAT0fAEIRliMM6l01a6TEtMmDT0.iME0fF0A
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�`-�:i^.;• .;: :'�,,.: .. :.: = SUiAfEYARiOAYit.IRE514tEMF!llQlNlxgAt0lVat'Qi19{lE:t501NtE)3tE1111i91TtFRAtNRB{NA
i N[REST CERtIRV. hT ,N[ATA",,,qp�((��.i1tETCN OF W111iET
OF TM[ N[AE�1eJl9#4111990 M0FE11Tx'•'li TRUE ANO CORNIEST-
To
ONNECTMICHAEL P. '= Ma LAUGHLIN
To THE sit ANN-ar.-MNNOt E+ E,.ANN-i[L,EP AS SURY'EVED pip a>YiGtt lAliiQ iYMYdi1aR
UNO[R MT.OINEeTIO�;<',,, I,CIE TIFT-THAT THIS BURTST
MttTi tN MINIMUM iECNNICAL STANDARDS VON LANG '
SUNYtTINi Ilt-T(IE i1�tE'OR'VL61Ii0A iCXAVTEN E/NN•4�A�C.i '
PURSUANT TO'SACTION 47E.otT VLON,ON'iTATSTEi.WNECT : 314 St. James Blvd.
TO TNS SIIALWICAT,ONO Nyb�lEy��HSNSOM:,
MICHAEL P. McLAUGHLIN Ft. Pierce.- FL. ' 33482
Pa"s°Nio� on URRV9 io 465-0250