HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/03/2020 Permit Number:
0
v a ° ° � -- - 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 FORDRIVEWAYMALKWAY
PROPOSED IMPROVEMENT LOCATION:
Residential Y
Address: 5000 SOUTHWIND TRAIL, FORT PIERCE, FL 34951
Property Tax ID #: 1418-123-0030-000-3 Lot No._
Site Plan Name: Block No.
Project Name: 5000 SOUTHWIND TRAIL DRIVEWAY
DETAILED DESCRIPTION OF WORK:
FORM AND POUR CONCRETE DRIVEWAY AND WAKLKWAY PER SITEPLAN. THICKNESS OF CONCRETE TO BE 4"
NO FUTURE STRUCTURES. 3000 PSI FIBER MESH CONCRETE
New Electrical Meter N/A Second Electrical MeterN/A
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction: 2200
Cost of Construction: $ 9200
Sprinklers Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name PAUL KUHN, HERITAGE CONTRACTING SVCS
Name:PAUL KUHN, HERITAGE CONTRACTING SVCS
Address:4900 CONLEY PLACE
Company: HERITAGE CONTRACTING SERVICES
City: FORT PIERCE State:
Zip Code: 34951 Fax: N/A
Phone No. 772-216-6612
Address:4900 CONLEY PLACE
City: FORT PIERCE State: FL
Zip Code: 34951 Fax: N/A
Phone N0772-216-6612
E-Mail:PAUL.K.HCS@GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail PAUL.K.HCS@GMAIL.COM
State or County License CGC1507158
-- -- I- 'I Ur rnurC, a r%c1.urcutu rvouce or commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN 'ti'd' INFaRMATl'1ft
.......... ....: ...:..
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
BONDING COMPANY: _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
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 lender or an attornev before commencing work or record in owce of Co mencement.
Signature of Owne / Lessee/ ontractor as Agent for Owner
Signature of Cbntractor/Li nse H Ider
STATE OF FLORIDA S� L uC c
COUNTY OF
STATE OF FLORIDA
COUNTY OF LG1 C 1
Sworn to (or affirmed) and subscribed before me of
✓Physical Presence or Online Notariration
this ,3r':6ay of Sept' 2020 by
Sworn to (or affirmed) and subscribed before me of
✓Physical Presence or Online Notarization
this .3rct day of Se- , 2020 by
cz--',�
Ckl.
Name of person makir
Personally Known
Name of person ma '
.'-''''• CONNIE CHILDS
Personally Known �iq tSfdl (�SfiSi�N 9
t�"'•' '- CONNIE CHILDS
p_Eodvas AVW�e8I5f09*W127619
Type of Identification
Produced
;%�a' EXPIRES Au ust 31, 202t
..; ,, G
Type of Identificatio EXPIRES August 31, 2021
Produced
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
Commission No. (Seal)
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEWS
FRONT
ZONING
SUPERVISOR
COUNTER
REVIEW
REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 57672-U-