HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �I h I^ oo
Date:
1f/74/�2r072211 r� Permit Number: U
O
° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential yes
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:improvement to existing driveway
PROPOSED IMPROVEMENT LOCATI 0 N:2410 Tamarind Dr., Fort Pierce, FIL _
Address: 2410 Tamarind Dr., Fort Pierce, FL
Property Tax ID#: 1436-601-0009-000/0 Lot No.8
Site Plan Name: 2410 Tamarind Dr. Block No. 1
Project Name: Stevens driveway
DETAILED DESCRIPTION OF WORK:
crack and remove old brick/concrete parking area, replace with new concrete parking area
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: $ Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Jennifer Stevens Name:Austin Doyle
Address:2410 Tamarind Dr. Company:Doyle Masonry
City: Fort Pierce State:_ Address:
Zip Code: 34949 Fax: City: State:_
Phone No.4108292493 Zip Code: Fax:
E-Mail:je.stevens@yahoo.com Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
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 CONSTRUCTION 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:
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 anp covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed or 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 Count and ed on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender o p
a m t e before commencingwork or recordin our Notice of Commencement.
4inZture f O n r/L ss ontractor as Agent for Owner Signature of Contractor/License Holder
STATE OF R A Lk(
k/ CI�(j STATE OF FLORIDA
COUNTY OF � C_ COUNTY OF
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
P ysical Presence or Online Notarization Physical Presence or_Online Notarization
this ' day of 20$ by this_day of 2020 by
,7en1*r"Slev
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificati Type of Identification
Produced Produced
„..„
(Si 6tatq 6bbliw6tBta�f>F (Signature of Notary Public-State of Florida)
- Commission # GG 27FO 79
My Commission Expire
�Se ) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW I REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.