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HomeMy WebLinkAboutPermit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 8/27/20 Permit Number: L! Rl li� L L L L:, L L tti — 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 Commercial Residential xx PERMIT APPLICATION FOR: Driveway Repair PROPOSED IMPROVEMENT LOCATION: Address: 376 Seahorse Ter Fort Pierce Property Tax ID #: Site Plan Name: Project Name: _ 3410-508-0248-000-7 DETAILED DESCRIPTION OF WORK: Remove and replace damaged concrete in driveway approx 29x11 under car port area 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 _ Gas Tank —Gas Piping _ Shutters _ Electric _ Plumbing Total Sq. Ft of Construction: 320 Cost of Construction: $ 3800.00 _ Sprinklers _ Generator Sq. Ft. of First Floor: Lot NO. Tropical Isles Block No. unit 1-7 Windows/Coors _ Pond Roof Pitch Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Iris Rivera Name:Jose Vides Address: 376 Seahorse Ter Company: JosB Concrete Perfect on City: Fort Pierce State: _ Zip Code: 34982 Fax: None Phone No. 7728125066 Address:383 SW North Shore Blvd City: Port St Lucie State: FL Zip Code: 34986 Fay:: None Phone No 7722406170 E-Mail:None Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mailjosbconcreteperfection@hc,tmail.com State or County License25230 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 MORTGAGE COMPANY: Not Applicable Name: Name: Address: City: State: Address: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: __Not Applicable Name: Name: Address: Address: City: City: 'Z&g (//�y Zip: Phone: Zip: Phone: _r OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the worK ar a instanauon as fllurldLVU. 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 wiich 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 payi ng 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 uei+h InnAnr nr nn =trnrnav hafnrP rnmmanrina work nr recordingvour Notice of Commencement. Rev. 5/b/ZU Signature of Owner/ L s or —as Agent for Owner Signature icense HoldE!r STATE OF FLORIDA IFL17D STATE OA COUNTY OF COUNTY OF w r to (or affirmed) and subscribed before me of n Io (or affirmed) and subscribed before me of Physical Physical Pre ce or this day of Online Notarization 2020 by `� Pre ce or Online Notarization this day of 2020 by 'Z&g (//�y __Ae Uvxv'L"�l Name of person making st tement. Name of person making statement. Personally Known Pro t; y'P�'•• Mlc Eca du d cati ;r -Stat, fRIly Known R•�"""' 4,ed Idertt&aJjorll iiDeo T pe of Identific tion _ , Commission: GG ; r� Notary Public - State of Florida 7353Identificat' ,�rxMy Comm. Expires Se commission GG 135939•�. 2Pdoduced rNComm. Expires Sep 29, 2021 Bccded throuch Naticrzl otarF\F„' Banded through Naficnal Nctary Assn. (Signa of ublic- State of Florida) (Signature o r lic- Sta a of F oida ) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/b/ZU Chy of t ad APINSOM City of PSL • l t Mstkt CaxetaR F MCP I9 Indim RAvar CvaeO UM S% L Aide County 152.0 Estimate Proposal JosB Concrete Perfection Jon A. rides , ti•iIM 772-240-6170 OMce t estm �t�it$SS 1t13ittiAL —BBB Subrnitted TO: EsdriawgivenbY Iaid Rivelta Jose Amoss � about Estimate 3? s e a h �c e r Call 772-812-5066 EffWl Dax iliveaa0091975@nmait.cow 7 Aug 2020 ;fie # Cc 11 773 263 1685 We herby submit Wec;iftcations arkd estimates for: Remove and aeptaee damaged c©ncaete in daiveway un ea uveae gco6 AEEkOX. 79xi1 411 thick 3000 ei with 6ibe4 mesh Te4m.,Lte •taeatittent n 1m Totat: $3800 R em o v a t OA Co We pmpose hereby to furnish material and lir- complete in accordance with the above slxcifications for Im sum of: 3840,00 � Dcdjars t with payw4nts to be made abs follows : Deposit required at signing tit contract. 1,00% dile �ipor, cmrpletimi of work. it is the raspoitsihihty of tht �iWrW io turnoff a! spr «�i1 !VS hCfnfe env w'�. �f %parted OWTICT ±r W srdib3? :c�catapp* ALL wimi a � spi-lokla hada. Child safety harrier and ground wire not includeat for MA if mquired ffjf pt$spt�cda4 jo-A S,rWfCtm Perfvcctfi is not :`CWmbit for dm&Sc ac, . i stbtititted' any umnazted wWa or Wrinkier heads m var4ation m colts aSaF £o4}«r'C.`,tf MWPavers RCtiC- iryis >xwsa° +`-:i}° i'w CISaLb� bt it3 if zi7:atompodNtitrtii; a wC`4&,`: t Illi/, ont rete Work is not Acceptance of Proposa; guarantet_d against cracking, The above pnces, sped{ G$tions and conditions are Horneownew responsible for t "tisfactory and are hereby accepird. You are :ieW :ettrvt'jl if required. '<w i to do as specified. Pa�ytxa n s will be made as outlined above. Price includes all discounts t Date of AcceTiture �_�., , � Sitle----.i�.r ' :.�..,...._..-.,..-•��-'' int' s'huake' relf"rxtx r ams, after Me proposal will be billed to customer