HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/06/20 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
PERMITTYPE:PATIO SLAB
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential Y
Address: 7402 COQUINA AVE., FORT PIERCE, FL 34951
Property Tax ID q: 1301-607-0234-000-9
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
FORM A POUR CONCRETE SLAB. 4" THICK, 3000 PSI FIBERMESH
2 if
CONSTRUCTION INFORMATION:
0
Lot No.
Block No.
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: 462
Cost of Construction: $ 3200.00
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name h^^ri0 r 1=-6E56e' 1
Name:'PAIA.1 'Vin
gSai44'1
Address: 7 H C2 �Da Yl Ayi -
11
Company:
u
City: e: E�f
Zip Code: 3N 1151 Fax: R
Phone No. -7 2 - 5�ire ' Cpi-(OU
Address: 1% ch.nl u o
City: state:1_7-�
Zip Code: q 5 1 Fax:
Phone No '1? -1 -1AU lo(o(Z
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail PAx(. 1-- N (S & A m a i j- Cond.
State or County License USC. ISU'1 1553
If value of construction is 57500 or more, a Ktc UKUr.V MUMU O. ...... ,; . •.m...• �•-.
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
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Address:
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
PO ON THE SOB SITE BEFORE THE FIRST INSPECTION. IF YOU WrIEND TO OBTAIN FINANCING, CONSULT
R LENq�R OR/1N ATTORNEY BEFORE RECORDING YOUR -NOTICE OF COMMENCEMENT."
STATE OF FLORIDA
COUNTY OF 54- Luc; e
The forgoing instrument was acknowledged before me
this �+hday of 4pr� J 20 20 by
Signature of
STATE OF FLORIDA
COUNTYOF S+146e..
The forgoing instrument juas acknowledged before me
this SIA+ day of r) 1 20_�J- by
Pct.u,l' Kuhn ( Paul Kuhn
Name of person making statement. Name of person making statement.
Personally Known ✓ OR Produced Identification_Personally Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
CONNIE CHILDS
EXPIRES August 31, 2021
REVIEWS I FRONT I ZONING
COUNTER REVIEW
Commissi MV COMMISSION # GGtff'
ES tugust 31, 2U
SUPERVISOR PLANS VEGETATION SEA TURTLE
REVIEW REVIEW REVIEW I REVIEW
MANGROVE
REVIEW