HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/30/2020 Permit Number:
Ll- 09 Q u � Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial x Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Concrete Wall Repair
PROPOSED IMPROVEMENT LOCATION: St Lucie County Landfill
Address: 6120 Glades Cut Off Rd, Ft pierce 34981
Property Tax ID #: 2335-441-0001-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Repair concrete wall to architects specifications do to car hitting building.
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 ^Sprinklers
Total Sq. Ft of Construction: 0
Cost of Construction: $ 2,380.00
Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameSt Lucie County
Name: Chris Carter
Address:2300 Virginia Ave
Company: Carter's Concrete Construction Inc
City. Ft Pierce State: i
Zip Code: Fax:
Phone No.
Address:5610 Smith Ln
City: Ft Pierce State: FL
Zip Code: 34982 Fax:
Phone N0772-519-6087
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail ccarterl46@hotmail.com
State or County License26700
It 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
N a me: FL DESIGN BUILD INSPECT
Name:
Address:
Address:2254 6Lh Ave SE,
City: VERO Beach State: FL
City: State:
Zip: 32962 Phone 7 72-321-3500
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 t our property,0A Notice of Commencement must be recorded in the public records of St.
Lucie County a po ed on th "Iobsite before the first inspection. If you intend to obtain financin consult
with lender o an Ator Are p6mmencing work or recordin our No i e o ommencreme .
Signatur f Ow r/ Lessee ontractor as Agent for Owner
Signature of Contractor/License older
STATE OF FLORIDA
STATE OF FLORWA
COUNTY OF
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or online Notarization
thi , day of QC'U$Qb4 j� 2020 by
Sworn to (or affirmed) and subscribed before me of
� Physical Presence or Online Notarization
this Z)Q day of 2020 by
O aLc4f
Name of person making statement,
Name of person making statement.
Personally Known _)", OR Produced Identification
Type of Identification
Personally Known J!;� OR Produced Identification
Type of Identification
Produced
Produced
(Signature of Notary Public ial If I r60
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Commission No. 1 jay CallrMniDailssioneGG 326515
Expires 0E11212023
Signature of Notary Publ t t o
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REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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