HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3i18121 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT TYPE: Driveway
PROPOSED INPROVEMENT LOCATION:
Address: 2414 N 53 RD ST FT PIERCE FL 34946
Property Tax ID #: 1431-701-0052-000-8 Lot No. 12
Site Plan Name: Block No.
Project Name: O'carroll driveway
DETAILED DESCRIPTION OF WORK:
Install new 4",3500 psi mixed truck concrete driveway.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
`Mechanical _Gas Tank —Gas Piping _Shutters —Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 4,250 Utilities: —Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name MICHAEL P O'CARROLL Name:MICHAEL 3 WALDROP
Address:2414 N 53RD ST Company:INNOVATION CONTRACTING INC
City: FT PIERCE State:_ Address:PO BOX 12757
Zip Code: 34946 Fax: City: FT PIERCE State:FL
Phone No. Zip Code: 34979 Fax:
E-Mail: Phone No 772-519-9108
Fill in fee simple Title Holder on next page( if different E-Mail MWALDROP@INNOVATIONCONTRACTING,COM
from the Owner listed above) State or County License CGC1511910
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC 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 cr 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
improvemen s to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Coun and posted on the jobsite before the first inspectio :'If you intend to obtain financing, consult
with len r or an attorney befDrecommencing work or recordLKg your Notice of Commencement.
Sign ure o ner/Less /Co tractor as Agent for Owner Si ure o' tractor/License e
STATE OF STATE OF FLORiQA
COUNTY OF � uuc I e, COUNTY OF J-I Luctz
Swo "to(or affirmed)and subscribed before me of Swop to(or affirmed)and subscribed before me of
✓✓ Physical Presence or Online Notarization / Physical Presence or Online Notarization
this_day of 2020 by this T day of 2020 by
k ck c"t-L ftckapk tklo.lckp
Name of person making sta ment. Name of person making statement.
Personally Known OR Produced Identification Personally Known V1 OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Si nature of Notary Publli a of fqR56W McM;Rhon ( ignature of Notary Public-State a} NICOW
' A. Corti �rCG35��.�15 _ oInIII.IIGG35 T
Commission No. .=c EXnl e �14 0y 19,74 Commission No. + :,NCY.1�,
Bonded Thu ME 4 ed T1im Aaron
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.