HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/22/2021 Permit Number:
0 L '` ` L Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: New Brick Drive
PROPOSED IMPROVEMENT LOCATION:
Address: 94 AQUA RA DRIVE, JENSEN BEACH, FL 34958
Property Tax ID #: 4511-811-0020-000-7 Lot No.19
Site Plan Name: GABINO RESIDENCY Block No. 2101
Project Name: NEW BRICK DRIVE
DETAILED DESCRIPTION OF WORK:
BUILD NEW BRICK DRIVE WAY TO MATCH EXISTING BRICK DRIVE WAY.
New Electrical Meter Second Electrical Meter
FCONSTRUCTION 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: 543 Sq. Ft. of First Floor:
Cost of Construction. $ 3,800.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name GABINO INFANTE
Address:5096 BRIGHT GALAZY LN
City: GREENACRES State:
Zip Code: 33463 Fax:
Phone No.561-301-3875
E-Mail: PEREZTERRI@BELLSOUTH.NET
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:IANQUER ACEVEDO
Company: FIRM BUILDER LLC
Address: 2054 VISTA PK WAY SUITE 400
City: WEST PALM BEACH State: FL
Zip Code: 33411 Fax:
Phone No561-480-0288
E-Mail IACEVEDO@FIRMBUILDERCONSTRUCTION.COM
State or County License FLORIDA CGC1526164
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:
I DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone_
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone:_
Not Applicable
_ State:
Not Applicable
MORTGAGE COMPANY:
Name:_
Address:
City:
Zip:
Phone:
x Not Applicable
State:
BONDING COMPANY: x Not Applicable
Name:_
Address:
City:..
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 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 recording ou Notice of Commencement.
Signature of owne0res4e/chritractor as Agent for Owner Signature of Cont actor icense Holder
STATE OF FLORIDA
COUNTY OF C.2yJal'-4
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Type of Identification
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Public- State of F
Commission No.6-'6:
REVIEWS FRONT
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DATE
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DATE
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Rev. 5/6/20
STATE OF FLORIDA,
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