HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: October 2019 Permit Number:
RECEIVED
• - OCT 23 209
Building Permit Appiica ion
Planning and Development Services 9T: Wgig Cguntyl ftrmitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential xx
PERMIT TYPE:
PROPOSED 1'1VIPROUE.iViENT LOCA ION ' ,
Address: 8701 Citrus Park Blv
Property Tax ID#: 1301-610-0047-000-1 Lot No.7/8
Site Plan Name: Block No. 4
Project Name:
DETAILED'DESCRIPt. 16kOF WORK. -
r
Pour concrete for 2nd driveway 10x40-NOT attached to the home
CON§ RUCTIC}N 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:$60o0,da Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE r ` `CONTRACTOR 3
NameAntonio G Tenedorio Name:Jose Vides
Address:8701 Citrus Park Blvd Company:
city: Fort Pierce State: Address:JosB Concrete Perfection
Zip Code: 34951 Fax:None City: PSL State:FL
Phone No.7722406170 Zip Code: 34986 Fax:
E-Mail:None Phone No7728125066
Fill in fee simple Title Holder on next page I if different E-Mail)osbconcreteperfection@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 MVAC is$7,500 or more,a RECORDED Notice of Commencement Is required.
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1
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 Horne Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Horne 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 YOU ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
s`
Signature of Owner Le ontractor as Agent for Owner Signature of Contra c1brice nse Hol r
l
STATE OF FLO STATE OF FLORI
ZSN�r2
COUNTY OF '\e COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisa3 day of d c* 20 by this 'Sday of<\\-0 20A 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 r<% L Ca L Produced L to L
�'. ��"•.,
EANNA WIE GIVENS
(Signature of Notary P lic-State of Florida (Signature of N .'! ,t�St ��lgrW�bkr16,2020
�pit1EG0 2023 ' ''•,PpF oP°' BandedThruNotaryPublicUnderwriters
Commission No.� D 31�oN#GG6�2p Commission No.
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REVIEWS ER � G SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COU ER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/29