HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_%• Z3•L O
Permit Number:
F) Ot
D -.ar, � � '
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-15.53 Fax: (772) 462-1578
Commercial
Residential
PERMIT APPLICATION FOR: Remove some parks of Driveway
PROPOSEP IMPROVEMENT LOCATION;
Address: 4906 Eagle Dr fort pierce FI
Property Tax ID #: 1312-801-0026-000-8
Site Plan Name: eagle
Project Name: 4906 eagle Dr
DETAILED DESCRIPTLON OF WORK:
remove part of driveway and replace
Z� c Xz -f
New Electrical Meter Second Electrical Meter
CONSTROCTI0N fNl"oRli/IATIOiV
Lot No.223
Block No.
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: $ 2000 Utilities: —Sewer —Septic Building Height:
OWNTER/LESSEE.:
COIVTRACTQR .
NameDonald Kafka
Name:duan Moran
Address:4906 Eagle dr
Company -Cove concrete
City: Fort pierce State: _
Zip Code: 34951 Fax:
Phone No.
Address: 9156 104th ave
City: Vero beach State: FI
Zip Code: 32967 Fax:
Phone No772 4533434 ��—
E-Mail:
Fill in fee simple Title Bolder on next page (if different
from the Owner listed above)
E-Mail Cove concrete@gmail.com
State or County License CRC1331029
lr Value or COnStrUCEFOn is «uu or more, a MLLUKL)LU Notice of commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
FEE SIMPLE TITLE HOLDER: Not ApplicableTAddress:
G COMPANY:
LAddres_i7:__
�` Not Applicable
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 noyywork or installation has commenced prior to the issuance of a permit.
ie
whichisis inc conflict with arts no y applicabletHome owthat is nersAssociation
permit
rules, will
bylaws or and covenants that build
subject
ec �ohiuhit 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 accesso use t
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for use
y 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 recordi your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
S orn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 2s 2020 by
Ndffle or person making statement.
Personally Known OR Produced Identification
Type of identification
Produc d
I
(Sig ature of Notary Pu ic- State of Florida )
Commission No. 66 0 4 "x o Ypa�s I] MARIACOLIN
COMMISSION #GG01956
EXPIRES: AUG 09, 2020
Signature of Co tractor/License Holder
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
__,2�`hysical Presence or Online Notarization
this __7_ day of _ Z 3 _ 2020 by
Name of person making statement.
Personally Known "( OR Produced Identification J:)
Type of Identificatio
Produced
(signature of Notary Public- Ito.e. o ortilnj
G WANTON MARIA GOLIN
Commission No. ?' #GG0195S9
AUG 09, 2020
*-»• Bonded through 1st Slate Insurance
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED