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HomeMy WebLinkAboutBuilding Permit Application i I� I All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: (A - 1 9ro LUCME > =° ` Building Permit Application Manning and Development Services Building and Code Regulation Division Commercial Residential x 11 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: Iry.z: � -[.F rya gg� 1� �sp - t - /�a•a�+� ��j � Y c a ,"da� kn� •"•�4' r � � �� �," � r"w[1� JtJ. lY1 •�Y11t • 'L, CMll1a`s•,m r. �e a✓' az� . ..z..:� i j Address: 11298 MULLER ROAD ! P;.ioperty Tax ID#: 2333-133-0001-b00-5 Lot No. Site Plan Name: Block No. Project Name: DRIVEWAY DETAl ED D�ECR(PTI(�N aF WORt�.� � f +tt€"€s �. ..fi` '�•.�'�'ag&a '- 93.��R s^ �.,. �;.".�Ee sit.F.-w, aaki.e �+. nr..�i�.�s"�,�� .-.. "Lm' .t . �. REMOVED DAMAGED, BROKEN,SINKING PAVERS AND REPLACE WITH 3000 PSI CONCRETE WITH FIBER MESH. ►� {�n:c� AREA TO BE REPLACED HIGHLIGHTED ON THE SURVEY. New Electrical Meter Second Electrical Meter L� � ¢ "E ? '�- a '€ �� s3 a kvy r°r*5 •y"'r ,. ' eNs- ucr( N IOr /�'{ �►j 11 � � h"'�• 'a•,,. � i Additional work to be performed' under this permit—check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ Utilities: _Sewer _Septic Building Height: °CONY A0. R _ 3 OtINER/LESSEE k xm q NameRBECCA PERCY Name:REBECCA PERCY- HOB Address:11298 MULLER ROAD Company: City: FORT PIERCE State:— Address:11298 MULLER ROAD i Zip Code: 34945 Fax: City: FORT PIERCE State:FL Phone No.772-579-3845 ! Zip Code: 34945 Fax: E-Mail:BECCA@INTEGCRETEiCOM Phone N0772-579-3845 Fill in fee simple Title Holder on next page(if different E-MailBECCA@INTEGCRETE.COM from the Owner listed above) State or County License If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. If value of HAVC is$7,500 or more,i RECORDED Notice of Commencement is required. i i M t "i' o,N mw S � LC7TRUP AT©E O � _ �� .1 P. DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 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 t i,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 lender or an attorney before commencing work or recording our Notice of Commencement. 'I (Me�� LIX Signature of Owner/Lessee/Contra to as Agent for Owner Signature of Contracto Lic rise Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF �`!" Lli-�-1 COUNTY OF Sworn to(or affirmed)and subscribed before me of Swqrn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization 'f-Physical Presence or Online Notarization this,-0:!fday of 2020 by this @2±rday of 2020 by Name of person making stateme t.' Name of person making statement. If =°e Personally Known 4- OR Produced Identification Personally Known ✓1 A.- OR Produced Identification Type of Identification Type of Identification Produced r) Produced ✓�1Gt� z � (Signature of Notary Public-SAteo ' IQ L a?, DEBORAH S.V��fgnatur of Notary Public-State o lorida) '� . ml s MY COMMISSION GG 009206 s Commission No.66cy),WO EXPIRES:Octobr8 issi No.G(-COq�lo (Seal) cA p Bonded Thru Notary PW 0 Underwriters N•OF FtO``` non` o I d REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGR COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW i I DATE RECEIVED DATE COMPLETED ev. I I