HomeMy WebLinkAboutDRIVEWAY APP (1) DocuSign Envelope ID:6B1192CF-1304-4OE4-BOF5-B6D61D2D4AEC
„r r Clam r lvry FUM DRIVEWAY CONSTRUCTION
Driveway Type:
New Construction (Fee $155,00) ❑ Upgrade/Replacement (Fee $25.00) ❑
Residential Commercial ❑
Applicant Name` r O_ C��d.�Sl = C, - ` Phone# 2,-,� to-�19S j
Mailing Address �? � , 'S�-z Psu t7�110 _ PSL.
Owners Name CV\r7 �X- CA&r�-- D�� ��nOin, ,�, L�� K— Phone#
Construction Address 57 Q 5 C yn 6 �` �u�-1' �'�� ��"' 3`(9 61
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Parcel Tax ID Number_1 1 c)-- t a` " M��-1
Lot# __Block#_ Subdivision
The Nearest Intersection Road/Street
The Nearest Property Line to Proposed Driveway is Feet (This distance must be a
minimum of 9' with or 6' without a culvert)
Desired Driveway Width is Feet
(Residential D/W must be between 10' Min. And 20' Max.)
(Commercial D/W must be between 20' Min. And 40' Max.)
Driveway Surface to be - CONCRETE 0 ASPHALT ❑ UNPAVED ❑ PAVERS ❑
(Note: A Driveway on a Paved Road Must Be Paved and On an Unpaved Road Must Not Be
Paved In the County Right-Of-Way)
The Center of the Proposed Driveway will be clearly marked on - -
I Will Mark the Driveway with: (Driveway Must Be Marked For Permit to Be Processed)
( ) A Stake Marked Center Line of Driveway Placed At the Right-Of-Way Line
( ) A Bright Color Center Line Symbol Painted On the Edge-Of-Pavement
( ) Driveway to Be Centered On Garage Door Opening (Opening Must Be Visible)
For All D/W Permits:
A County Inspector Will Process Your Permit, Determine Grades, Setbacks Etc., On Or As Soon As
Possible After The Date Marked Above. Please Allow A Minimum Of 10 (Ten) and Maximum of 30 (Thirty)
Working Days From The Date Marked Above For The Permit To Be Completed To Prevent Any Hardship.
Notice To Owner And Builder: The Certificate Of Occupancy (C.O.) Will Be Withheld By The Planning
and Development Services Department Until All Conditions Of this Permit Are Inspected And Satisfied.
I/We Agree To Abide By The "Conditions Of Driveway Construction" Listed On Page Number 2 (Two) Of
The Permit Issued. I/We Agree To Construct the Driveway In Accordance With The St. Lucie County
Land Development Code (Section 7.05.06) And Construction Specifications Listed In This Permit. In The
Event The Culvert Fails Or Becomes Unserviceable, Or The Driveway Needs To Be Replaced For Any
Other Reason, R pj,,�,hall Be Arranged By And At The Expense Of The Owner.
Owners Signatu
ED6EF02C7F61419...
Date Received By Planning and Development _ — _�� BY --------.--..----------
Date Received By Construction Inspector By —
Rev. 6/10 Master Building Permit Number Receipt Number