HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; 6/09/2020 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) 462-1.578
Commercial
-e'50-04
Residential X
PERMIT APPLICATION FOR: Concrete pad, walkway and small pad
PROPOSED IMPROVEMENT LOCATION:
Address: 6308 Margaret Way, Fort pierce, Florida
Property Tax I D ##:.
Site Plan Name:
Project Name:
d d (wok 5k_.a-,-3 ue olt
DETAILED DESCRIPTION OF WORK:
Install concrete pad for parking
�35x19 fl--. Walk way, small pard 5x5 and 12x25 parking pad
3v�c Cyr � ' kI^� l`++ � {YL 5 In � h G
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-- check all that apply:
Mechanical
Electric
_ Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction. $
OW N ERAESSEE:
NameTerry Gardner
Gas Piping _Shutters Windows/Doors
Sprinklers _ Generator Roof
Sq. Ft_ of First Floor:
Utilities: _Sewer _Septic
Address: 6308 Margaret Way
City: Fort.pierce florida State: _
Zip Code: 34982 Fax:
Phone No. 772453434
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from. the Owner listed above)
CONTRACTOR:
Lot No.
Block No.
Building Height:
Name:duan Moran
Company: Cove Concrete & Company LLC
Address:9156 104th ave
Pond
Pitch
City: Vero beach State: Fl
Zip Code: 32967 Fax:
Phone N0772 453 3434
E -Mail CoveConcrete@gmaii_com
State or County License CRC1331029
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/09/2020 Permit Number:
o
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Concrete pad, Walkway and Small pad
PROPOSED IMPROVEMENT LOCATION:
Address: 6308 Margaret Way, Fort pierce, Florida
Property Tax ID #:
Site Plan Name:
Project Name:
cli N" Sltiaw W O T
DETAILED DESCRIPTION OF WORK:
Install concrete pad for parking
..35x19 +/_-. Walk way, small pad 5x5 and 12x25 parking pad
'?6.-'?6.-,.oa 5 r 0 i h -C410e #t As;,
New Electrical Meter Second Electrical Meter
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:
Cost of Construction: $ 1
Generator
Sq. Ft. of First Floor:
Lot No._
Block No.
Windows/Doors Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
NameTerry Gardner
Address: 6308 Margaret Way
City: Fort.pierce florida State:
Zip Code: 34982 Fax: —
Phone No. 772453434
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name:duan Moran
Company: Cove Concrete & Company LLC
Address:9156 104th ave
City: Vero beach State: FI
Zip Code: 32967 Fax:
Phone No 772 453 3434
E -Mail CoveConcrete@gmaii.com
State or County License CRC1331029
If value of construction is 2504 or more, a RECORDED Notice of Commencement is required.
If value of HAVC 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:
Zip: Phone State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:
Name: Name: Nat Applicable
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to nhtnin finnnrinn , ...�..�+
whir ienaer +or an attorne betore com encing work or recordin cur Notice of Commencementsr [ Y!I IJ IAII
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Halder
STATE OF FLORIDASTATE
COUNTY OF lv; C�
OF FLORIDA
COUNTY OFstfuice
S orn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presen a or Online Notarization
this 4- day of
x Physical Presence or Online Notarization
2020 by
this 6 day of 9 2020 by
ry W
JUAN MORAN
Name of person making statement.
Name of person making statement.
Personally Known —71, OR Prod
Type of Identification MAEro
Pe sonally Known x OR Produced Identification
a tification
Produced MY COMMISSION #GG01 5R of Iden
? Pr ducedDL
EXPIRES. AUG 09,20 0
b oR Bonded gtrough ist State Ins ranee j 4 R r MARIA COIN
�—
(Signatu a of Notary Public- State of Florida)
( fl% My COMMISSION #GG019569 t
v
(Signature of Notary Public- State IQ04Ihrtsugh 1151 State insr�rand;r
Commission No. ,St; of (seal)
/
Commission No. U lT��
(Seal)
REVIEWS FRONT ZONING SUPERVISOR
COUNTER
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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