HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -� /
2/17/21 / i�'u1
4
Date: Permit Number:
RECEIVED
FEB 17 2021
Building pp Permit Application
Permitting DeaertmQnt
Planning and Development Services St. LUCie counh,
Building and Code Regulation Division Commercial Residential XX
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:Remove and replace concrete RV pad
PROPOSED IMPROVEMENT LOCATION:
Address: 10725 S OCEAN DR, Unit 481 Jensen Beach FL 34957
Property Tax ID#: 4511-502-0029-000-1 Lot No.29
Site Plan Name: Block No. M
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove and replace existing concrete RV pad(same dimensions as existing)
I
6"thick 4000psi with fiber mesh and wire 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: W 1162 Sq. Ft. of First Floor:
Cost of Construction: $ 10,900.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Robert Hoffman Name:Jose Vides
Address: 1084 Lake Sebring Drive Company:JosB Concrete Perfection
City: Sebring State:_ Address:383 SW North Shore Blvd
Zip Code: 33870 Fax:None City: Port St Lucie State:FL
Phone No.772 812 5066 Zip Code: 34986 Fax: None
E-Mail:None Phone No7722406170
Fill in fee simple Title Holder on next page(if different E-Mailjosbconcreteperfection@hotmail.com
from the Owner listed above) State or County License25230
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 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 @Zorney before commencing work or recording our Notice of Commencement.
Signature of Owner/Less tractor as Agent or Owner Signature of Contra License Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF COUNTY OF '
Sworn-to(or affirmed)and subscribed before me of Sw�to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this day of 2020 by this day of 2020 by
Name of person making statement. Name o person� making statement.
Personally Known. /' OR Produced Identification Personally Known i OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Ail h k4'^1 AV�J-' JLd� rz).:�
(Signature of Notqy Public-State of Florida (Signature of otar ublic-State of Florida
R 't`i Y josv?�s(. AUDREYB.HUI
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Commissi 0, AUD B. ( Commission ' ' ' s= ISSION#�MY COMMIS r: ,� 3 *: '*_." o EXPIRES:Marc ,2023
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REVIEW R ff'- "ZONING SUPERVISOR PLANS V GETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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