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AIIAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit Application
Planning and Development Services
Building qnd Code Regulotion Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (7721 462-1553 Fax: (772) 462-L578
Commercial Residential
PERMIT APPLlcArloN FoR: After the fact permit for existing pad
PROPOSED IMPROVEMENT LOCATION :
Address: 47'10 ELM AVE, Fort Pierce F|34982
Property Tax lD #:3404-50'1-0504-000-0 Lot No
Site plan 11rrn". Cole Block No.
Project Name:code violation # 105050
6" Thick slab, 3000 lb regular aggregate mix with commercial fiber mesh. Slab only
New ElectricalMeter Second Electrical Meter
Additional work to be performed under this permit - check all that apply:
Mechanical Gas Tank _ Gas Piping
-
Shutters Windows/Doors
-
Pond
-
Roof
-
PitchE lectric _ Plumbing -
Sprinklers _ Generator
Sq. Ft. of First Floor:Total Sq. Ft of Constru6llen' 1296
Cost of Construction: $ Permit only $500'00 Utilities: -
Sewer
-
Septic Building Height:
lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
DETAILED DESCRIPTION OF WORK:
After the Fact Permit, Code Violation # '105050 Pour 36' x 36' concrete pad under existing building.
CONSTRUCTION I N FORMATION :
OWNER/LESSEE:CONTRACTOR:
N2ms Jeremiah Cole
466ys5r.4710 Elm Ave
CitV' Fort Pierce t,t,",
ZiP Code: 34982 Fax:
phone 11s. 772-985-9439
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Kenneth l. Lippard
Company . Lippard Construction lnc
Address: 1 200 Driftwood Lane
City:Fort Pierce State: Fl
ZiP Code: 34982 psy. 773-465-6739
phone 1ts772-370-7548
g - 1y1 s i I I ippardco nstruction @comcast.net
State or County 1i6sn5gCGC1515384
lf value of HAVC is 57,500 or more, a RECORDED Notice of Commencement is required'
SUPPLEMEHTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City:State:
7ip:Phone
MORTGAGE COMPANY:
-
Not ApPlicable
Name:
Address
City:State:
7ip..Phone
FEE SIMPtE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
zip:Phone:
BONDTNG COMPANY: _Not Applicable
Name:
Address:
City:
zip:Phone:
OWNER/ CONTRACTOR AFFIDVIT: Rpplication 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 Countv ma kes no reoresentation that is pra ntins a oerm it will authorize the permit holder to build the su biect structu re
which is in conflict with anv a'oolicable Home Owilers AsSociation rules, bvlaws or and covenants that mav restrict or prohibit such
structure. Please consult with riour Home Owners Association and review'your deed for any restrictions Which may apply.
ln 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. lf you intend to obtain financing, consult
with lender or an attornev before commencins work or recordins vour Notice of Commencement.with lender or an att betore commencing work or record r Notice of Commencemen
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STATE OF FTORIDA
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Sworn to (or afflrmed) and subscribed before me of
Llfh-ysical Pres1?nce gr- Online Notarizatiotz?hvsical Presence or Online Notarization
tnir9C:o.v ot CliL'-t-- ,202( by
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STATE OF FLORIDA
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Sworn to (or affirmed) and subscribed before me of
Online Notarization
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tz4fivsical Presence or
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Name of person making statement.
Personally Known l-'/ OR Produced ldentification
Type of ldentification
Producedc=F
Name of person making statement.
PersonallyKnown /O^Produced ldentification
Type of ldentification
Produced-
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(Signature of Notary Public- State of Florida )
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Commission No. g' ",i . S,.til,ii;{Seal.),-
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(Signature of Not
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PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED