HomeMy WebLinkAboutBuilding Permit Application Air APPi tCAUE i00 MUST OE C01VIK Thi FOR APPUCATfOIt TO BE ACCO S-
Date: - '1�Szs �� Permit Number: I
Building Permit Appiicatio
RECEIVE®
Planning and Development Services
Building and Code Regulation Division JUL 2 5 2019
2300 Virginia Avenue,Fort Pierce FL 34982 ST L Qunk
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residers y, PerrnItCIFlg
PERMIT TYPE: Driveway
PROPOSED IMPROVEMENT LOCATION:
Address: 701 Bartow Street
Property Tax ID#: Parcel ID: 3402-607-0088-000-6 Lot No. 1/2
Site Plan Name: Block No. 18W20C
Project Name:
DETAILED DESCRIPTION OF WORK:
Pour concrete for 20'driveway on vacant lot 20x80'
Remove and replace existing (main) driveway 16'wide
3000 psi 4"thick fiber mesh
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. R of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 14,000 Utilities: —Sewer —Septic Building Height:
OINNERjLESSEf. " "CONTRACTOR: `
Name Gary Name
Aleknavich,Tara L and Ga :Jose Vides
Address:701 Bartow Street Company:JosB Concrete Perfection
City: Fort Pierce State:_ Address:383 SW North Shore Blvd
Zip Code: 34982 Fax: Cty: Port St Lucie State:FL
Phone-No. 772 812 5066 Zip Code: 34986 Fax:
E-Mail: Phone No 7728125066
Fill in fee simple Title Holder on next page(if different E-Mail josbconcreteperfection@hotmaii.com
from the Owner listed above) State or County License25230
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.
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DESIGNER/ENGINEER: _Not Applicable M T MORTGAGE COMPANY: _Not Applicable �z
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 NOTICE OF COMMENCEMENT."
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Signature of Owner/J ee/Contractor as Agent for Owner Signature of Con or/License Holder
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STATE OF FLORI A STATE OF A
COUNTY OF '5 N'- L Oc%--k I COUN-TX OF :�k. ek
Thefor oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this4T day of 20_M by this.?�, day of-U 0 204_ by
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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 1. `p I-- Produced
(Signature of Notary Public-St .oF, 'ai Mpl'IEGtvEN'' ;, (Signature of Nota
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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