HomeMy WebLinkAboutPermit package All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
�UC.ULR
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:driveWay addition
PROPOSED IMPROVEMENT LOCATION:front of the house
Address: 212 Camino St Port St. Lucie
Property Tax ID#: 3419-515-0219-000-4 Lot No.29&30
Site Plan Name: drive Block No. 28
Project Name: drive
DETAILED DESCRIPTION OF WORK:
we will add 10'6"to the right side of the driveway and 8 feet to the U shaped drive. the concrete will be 4"thick 3000 psi
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 Windows/Doors _Pond
—Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2,250.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Robert Leakkonen Name.Jake Crouch
Address:212 Camino St Company:JTC Concrete Plus LLC
City: Port St. Lucie State:_ Address:8280 Germany Canal rd
Zip Code: 34952 Fax: City: Port St Lucie State.PL
Phone No. Zip Code: 43987 Fax:
E-Mail: Phone No 772-216-1346
Fill in fee simple Title Holder on next page(if different E-Mail jtc.concrete.plus@aol.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,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CdNSTRUCTION LIEN LAW INFORM ATI0N ......... . .. ....... .....
........ ..
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.
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 Counw5nd posted on the}obsite before the first inspecti n. If you intend to obtain financing, consult
with lend 66 attorney before commencing work orrecorWhg.Vour Notice of Commencement.
Signat a of Owner/Lessee/Contractor as Agent for Owner )0tLTr_e of Contractor/License Holder
FL
CO NTOYOFORID Luc.,n� COUN STATE0 OFORIDP &aC/ �—e_J
Sworr-o(or affirmed) and subscribed before me of Sworn to(or affirmed)and subscribed before me of
^� tysical Prese a or. Online Notarization _45 ical Presen a or . Online Notarization
this _day of 2020 by this-4S day of 2020 by
cu
Name of person ma ing statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Ide ti ' gtiot Type of Identifi tiort'v,
rod c d ��-- Produc d I✓t�
i na ur of Notary Public-Stal S_'_bf Florida MICHELLE GLINT;R(Sign t6re of Notary Public-Stat i a ) MICHELLE GUNI E
'] tier a NotaryPublic.State of Florida ; Notary Public,State o Fi ida
Commission N��rp t 4 {9e al) Commission#GG 13 90m ission N T g x (� q Commission#GG 1 2 6
My comm.expires Sept. 5,2021 My comm.expires Sept.15 021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
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