HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2J26/2018 SCANNED Permit Number:
Lurie Co HM9
Building Permit Application
Planning and Development Services FEB 2 7 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Other
M
Address: 7028 Maidstone Dr, Port St Lucie, FL 34986
Legal Description: MAIDSTONE (PB 43-11) LOT 107 (OR 4047-1110)
Property Tax ID #: 3322-505-0116-000-4
Site Plan Name: Maidstone
Project Name: Paver patio
Setbacks Front---,- - - ) Back-.,
77Right Side: •Left Side
Lot No. 107
Block No.
"
F WORK
[ON 0 EDDE� IPT'
Remove existing 250 sq.ft. of patio pavers and install new patio pavers approx. 54 LN FT concrete
footer and paver sand approx. 16' out from rear of house and 25' across, edges mortared down to
footer with joints sanded. 1�/r2vle-- -3-1"1-216-1z1,1-e,
-..PgNSTRUt7r'!ON:!N'FOkMATION..,
Additionalworktobanertormecl ncier this permit —,;,e,, all appi
1JHVAC E]1 i
Gas [__] Gas Piping Shutters 0 Windows/Doors
0 Electric Ellumbing OSprinklers E]Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: a 5 -A It. S Ft of First Floor:
Cost of Construction:$ 1,000 Utilities,Sewer OSeptic Building Height:
Ok'N
"
T QN% RACTOR:,,"'
NameJudith McIntyre
Name:
Address:7028 Maidstone Dr
Company:
City: Port St Lucie State: FL
Address:
Zip Code: 34986 Fax:
City: State:
Phone No.203-214-4588
Zip Code: Fax:
E-Mail:jmcintyre112@comcast.net
Phone No.
Fill In fee simple Title Holder on next page if different
E-Mail:
from the Owner listed above)
State or County License:
If value of construction Is $Z500 or more, a RECORDED Notice of Commencement Is requires.
! ""
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement. Aazz Rev. 8/2/17
Signature of Contractor/License Holder
Sig a ure of Owner/ Lessee/Contr ctor as Agent f
STATE OF FLORI
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STATE OF FLORIDA
COUNTY OF
••�•'
COUNTY OF
The forgoing instr en was acknowledg�efor
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o
The forgoing instrument was acknowledged before me
this day of 20_ by
this day ofby
,
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Name of person making statement
Name of person making statement
Personally OR Produced Identific
i�-��=
Personally Known OR Produced Identification
�ion,
Type of Identi�Type
1 "
of Identification
Produced
Produced
(Signature of Nota ublic-State of Florida)
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
a1a
51
RECEIVED
DATE
COMPLETED