HomeMy WebLinkAbout1507 E Easy st, Permit apllicationII PF�LI BL7=NF0 UST=ECOM�PLETEDFFOR APPLIC�ATION�TO E ACCEPTED
Date; 4/2212021 Permit Number:
5''
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 42-157
[��M—ITAPPLICATION
Address, 1507 E Easy ST Fort Fierce" FL 34982
Property Tax ID:M 3402-60 -0 25- 36A0 Lot No.2
Site Plan, Name: 'IN IAA RIVER ESTATES Block No. 2
Project Name:
Form and pour 6" 3000 psi wl fiber slab with 12"x1 '" footings.
Form and pour S" driveway per survey 3000 psi Wlfiber
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
—Mechanical Gas Tank ® Gas Piping � ShuttersWindows/Doors Pond
— Electric Plumbing � Sprinklers — Generator Roof —Pitch
Total Sq. Ft of Construction: S , Ft. of First Floor:
Cost of Construction: $, utilities: Sewer —Septic. Building Hei ht
Name Kyle Andrew Floyd (Name: Chris Carter
A4ddress:1S97 EASY ST, Company,Carters Concrete Construction Inc
City: FT FIERCE State: Address: 5 10 Smith Lane
Zip Code: 34982 Fax City: Ft pierce State: FI
Phone No. Zip Code: 34982 Fax:
--Mail: Phone N07725196087
Fill in fee simple Title Holder on next page'( if different E-Mail ccarterl46@hotmaii.com
from the Owner listed above) State or County License 267 0
if value of construction is 2500 of 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:
Zip: Phone
City: State:
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 nancing, consult
with lender or an attorneybefore commencingwork or recordin o N ce of m om cement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
signature ontractor icense Holder
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA j- z
COUNTY OF l-
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
a of 2020 b
this d y Y
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
2 20 b
this da of 0 y
Y
�lii�• � G—
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known Z' OR Produced identification
Type of Identification
Produced
Type of Identification
Produce
(Signature of Notary Public- State of Florida)
(Si atu afptgj64'
Commission No. (Seal)
. Veronica Haines
Comiss n� MyCommieuan GG G4 94671'SeaI
a
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.