HomeMy WebLinkAboutBuilding Permit Application'Ail APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (j,
Date: 8/14/2020 Permit Number:90
� —, • �33�
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:Julita Warwood
PROPOSED,IMPR' EIVIENT LOCATION` ? {
Address: 5509 KILLARNEY AVE
Residential X
PropertyTax ID #: 1301-614-0054-000-5 Lot No.26
Site Plan Name: Block No. 158
Project Name: DRIVEWAY
DETAILEDDESCRIPTION DF WORK:. T
WIDEN CONCRETE DRIVEWAY ADDING 6 FEET FORA TOTAL OF 16 FEET
NEW CONCRETE SIDEWALK AS PER DRAWING 23 FEET X 4 FEET NO CULVERT WORK
REAR PATIO AS SHOWN ON DRAWING 39' X 12' WITH AN 8" X 8" FOOTER (1 #5 REBAR CONT.) f
New Electrical Meter Second Electrical Meter
CO:NSTRUCTI.ON.INFORMATI'ON: a
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:
$6800.00
Cost of Construction: $ Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE
CONTRACTOR':
NameJulita Warwood
Name:
Company: MARK A. ODOM CONSTRUCTION INC
Address:5509 Killarney Ave
City: Fort Pierce, FL 34951 State: _
Address:1056 OLD DIXIE HWY
Zip Code: Fax:
City: VERO BEACH State: FL
Phone No. 772-473-0046
Zip Code: 32960 Fax: 772-299-4074
E-Mail:MODOM49@YAHOO.COM
Phone N0772-473-0046
E-Mail MARKODOMCONSTRUCTIONINC@GMAIL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License CBC01 8696
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.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 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 attorneybefore commencingwork or recordingour Notice of Comm ment.STATE
OF
SUPPLEMENTAL CONSTRUCTIQN^LIEN
LAW
INFORMATION
,-., - '...
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:
nature of Owner/ Lessee/Contrac or as Agent for Owner
Signatur Contractor/License -der
ORID����
COUNTY OFORI�t&ST'LLL(T4--,
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Pre ence or Online Notarization
Physical Pre�nce or Online Notarization
is ay of �— 2020 by
this � day of Zi4.h , 2020 by
Name of person making statement. T'L
Namer of person making statement.
Personally Known
Personally Known OR Produced Identification
Type of Identification JENNIFER R. WIiITESELL `
Type of Identification
Produced L_ Notary Public. State of Florida
Produced
Vrive7 lai,trfre. Commissions GG 319968
My Comm. expires Apr. 4, 2023
i n u e of Noy�ry Public- `�a�� ` ida)
('nature of Notary Public tate of Florida )
�
Commission No. GG, lqq(o!Er (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
'SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.