HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: l. .
1_i4 = RECEIVED
D
--- - - - - Building Permit Applica ion MAR 2 '� 2019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential XXX
PERMIT TYPE:
PROPOSED:IMPROVEMENT LOCATION:
Address: 5501 MYRTLE DRIVE, FORT PIERCE, FL 34982
Property Tax ID#: 3402-609-0085-000-1 Lot No. 27&28
Site Plan Name: 5501 MYRTLE DRIVE Block No. 54
Project Name: SCHUTT
DETAILED DESCRIPTION OF WORK:`.`
3-wide SIDEWALK GOING FROM CAR PORT TO PATIO',CONCRETE PADOIV LEFT SIDE OF HOUSE 21'X 6.5'
CONCRETE WILL BE 2500 PSI with FIBER MESH, MINIMUM OF 4"THICK ft,_�
CONSTRUCTION INFORMATION.
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: Sq.Ft.of First Floor:
Cost of Construction:$ 2,400.00 Utilities: —Sewer '—Septic Building Height:
OWNERAESSEEc - CONTRACTOR: r
Name JEFFERY&CAROL SCHUTT Name: JOHN RODGERS
Address: 5501 MYRTLE DRIVE Company- JOHN RODGERS CONCRETE
City. FORT PIERCE, State:_- Address: 355 PALMS-AVE
"Zip Code: 34982 Fax:- City: FORT PIERCE State:FL
Phone No. Zip Code: 34982 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 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 INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N CE OF COMM CEMENT."
Signature o ner/Lessee tractor as Ag t former Signature f Contractor/Lic'e a Holder
STATE OF FLORID STATE OF FLORIDA
COUNTY OF Li YlftE, COUNTY OF
Theforgging instru t was knowledg efore me The for ing instent s acknowledge efore me
thisday of 20Vby thi day or1.
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W0re 6f person maki�r/st`OR
m nt. Name of person making sta e i nt.
Personally Known Produced Identification Personally Known TOR Produced Identification
Type of Identification Type of Identification
Produced II Produced
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(Signature of Notary blic-State of Florida) (Signature of Notary e=i �
KAREN S. NIELSEN�
Commission No. ���i�i�ii, Se �a°F LB`'c,'sState of
( 13Q)1REN S. NIEL F£!�m ssion No. _ _ q3e�1�-Notary Public
a�
State of Florida Notar Public = Commission # GG 2074134
W,-Commission # GG 2 7484 ''%', oFF�W, any Commission Expires
,. P? 2022
M Commission phos June �;
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REVIEWS FRONT VEGETA I N S
COUNTER REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
lev.2/7/19