HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/6/20 Permit Number:
O
y_.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: driveway modification
PROPOSED IMPROVEMENT LOCATION:
Address: 437 European Lane Fort Pierce
Property Tax ID #: 3410-503-0220-000-0
Site Plan Name:
Project Name:
Residential xx
Lot No.10
Block No. H
DETAILED DESCRIPTION OF WORK:
Pour concrete for driveway extension 5' to right side (road to home entrance walkway - no culvert)
4" thick 3000psi with fiber mesh
Fill existing planter in front of home with concrete 4" thick 3000psi with fiber mesh
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: 400
Cost of Construction: $ 4,000.00
Gas Piping
Sprinklers
_ Shutters _ Windows/Doors _ Pond
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Roland Saucier
Name: Jose Vides
Address: 437 European Lane
Company: JosB Concrete Perfection
City: Fort Pierce State: _
Zip Code: 34982 Fax: None
Phone No.7722406170
Address: 383 SW North Shore Blvd
City: Port St Lucie State: FL
Zip Code: 34986 Fax: N/A
Phone No7728125066
E-Mail: None
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail josbconcreteperfection@hotmail.com
State or County License 25230
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
Citv:
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 obtain financing, consult
with Ipnripr or ap,attornev before commencine work or recordiae vour Notice of Commencement.
Signature of Owner/ L 6see gent for Owner
Signature of ctor/License Holder
STATE OF FLORIDA
STATE OF FL A
COUNTY OF ST L c
COUNTY OF S LC, ,
Sworn (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
(/Physical Presence or Online Notarization
physical Presence or Online Notarization
this —)"- day of 3 2020 by
this day of �/ �� 2020 by
C-)1 0( �S
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification t�
Type of Identification
Type of Identification
Produced V" L:
Produced to,, L i I .
(Signature of Nota ry Public- State FloridaJ
(Signature of Not4y Public- State of Florida )
::�yva�B., CINDYLALCHERMES
Commission No. 2: �cr` Notary Public $Q9}ofFlorida
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Commis al)
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My Comm. Expires Jul 17, 2023
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REVIEWS
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SUPERVISOR
PLANS
MANGROVE
vmur M
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20
City of Stuart AP10050002
City of PSL -10082
Martin County MCPF5619
Indian River County 18387
St. Lucie County 25230
Estimate Proposal
JosB Concrete Perfection
Jose A. vides - Owner
772-240-6170 office
Licensed & Insured
josbconcreteperfection @ hotmail.com
N1ENMER BETTER
BUSINESS BUREAU
1.
B""B
Submitted To:
Estimate given by:
t '
Jose
Address
Questions about Estimate
r
Call 772-812-5066
Email
Date
Phone #
Cell#
S
We hereby submit specifications and estimates for:
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iq
i 1 r. •_vim C � � "'T'e'a-.
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We propose hereby to furnish material and labor- complete in accordance with the above specifications for the sum of:
� ���J _ Dollars
wish payments to b�made as folio osit required at signing of contract. 100�Xo due upon completion of work. It is the
responsibility of to turn off all sprinklers before any work is started. Owner must indicate c '' , of ALL wires and
sprin ads. Cty barrier and ground wire not included for pool if required.
Respectfully
JosB Concrete Perfection is not responsible for damage to
submitted:
any unmarked wires or sprinkler heads or variation in color
of concrete and pavers_ Note- this proposal may be withdrawr, if no! accepted within 8 weeks
Concrete work is not
Acceptance of Proposal guaranteed against cracking.
g .. i~.
The ab4�epTlces;specifications and conditions are Homeowner responsible for
satisfactory and are hereby accepted. You are new survey if required.
authorized to do work as specified. Payments will be
made as outlined above. Price includes all discounts.
``' l t
Date of Acceptance s `' Signature
" Any change requests made after acceptance of the proposal 14411 be bit] to customer