HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 /28/20
Permit Number:
Building Permit Application
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 XX
PERMIT TYPE: Concrete
PROPOSED, IMPROVEMENT LOCATION:.
Address: 418 European Lane Fort Pierce
Property Tax ID #: 3410-503-0198-000-6
Site Plan Name:
Project Name: Thomas Schoenberg
Lot No.9
Block No. G
.DETAILED DESCRIPTION OF WORK:
Extend concrete driveway / install concrete walkway around home / extend concrete back porch
W t All, 310,00 Q 3-r
"CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
5 !,�
_ Generator
Sq. Ft. of First Floor:
_ Windows/Doors
Roof Pitch
Cost of Construction: $ Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:,.
CONTRACTOR: -;
NameThomas Schoenberg
Name: Jose Vides
Address:418 European Lane
Company:JosB Concrete Perfection
City: Fort Pierce State:.
Address:383 SW North Shore Blvd
Zip Code: 34982 Fax:
City: Port St Lucie State: FL
Phone No.7722406170
Zip Code: 34986 Fax:
E-Mail: N/A
Phone No 7728125066
Fill in fee simple Title Holder on next page (if different
E-MaiiJosbconcreteperfection@hotmaii.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 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 I BONDING COMPANY: Not Applicable
Name:_
Address:
City:
Zip:
Phone:
Name:
Address:
City:
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 YOV INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDQ OR AN ATTORNEY BEFORE RECORDING YOUR 100TICE OF COMMENCEMENT."
Signature of Owner/ L on ractor as Agent for Owner
Signature a Holder
STATE OF FLORIDA
STATE OF FLORID
COUNTY OF
v
COUNTY OF
The forgoing instrument was acknowledged before me
The f oing insment was acknowledged before me
this 3l� day of 2t� by
thisay o 2QM 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- Sta of Florida)
(Signature of Notary Public- St of Florida )
Commission No. l�.
Commiss aAkk. - (Seal)
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DATE
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DATE
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Rev. 2/7/19