HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/15/19 RECEIVED Permit Number:
' 01' ° = "'00621 I APR 15 2019 RECEIVED
•
.� ST. Lucie Co ty, a ittlo
ermitApplication 15 2019
Planning and Development Services SCANNED
Building and Code Regulation Division BY -sT.:.ucw County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX
PERMIT TYPE: Footing
PROPOSED IMPROVEMENT LOCATION:
Address: 2899 Conifer Drive
Property Tax ID #: 1327-801-0073-000-8
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Install concrete footing 8x8
Lot No.184
Block No.
;?% X (0.91 u
CONSTRUCTIONINFORMATION:
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: . W lC Sq. Ft. of First Floor:
cost of Construction: $ 2000 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR.
Name Rafael Vias
Name:Jose Vides
Address:2999 Conifer Dr
Company:JosB Concrete Perfection
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No. 7722406170
E-Mail: N/A
Address:383 SW North Shore Blvd
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone N07728125066
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail josbconcreteperfection@hotmail.com
State or County License 25230
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.
Sl1PP1'EMENTALCONSTRUCTfOIYLIENLAWANFORMATION
- `
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City.
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LEftFR OR AN ATTORNEY BEFORE RECORDING YOUR NOTJCE OF COMMENCEMENT."
1
Signature of Own; L se Uor as Agent for Owner
Signature of C n actor older
STATE OF FL
STATE OF FLORIDA
COUNTY OF
COUNTY OF Lin rr'
The for ping instru �en�t —waJs cknowledge before me
this �day a { `j 20� by
The fo going instru ent wo acknowledge efore me
this3day of 20 by
r 111%. V;Inpq
���t�r�
Name of person making st�mentof person ma king statement.
Name of person ma�statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification ✓/
Type of Iden ' e
Type of Identif ' n
Produced
Produced
-, <AREN S. NIE ;State of Florida-NotaryLSEN
Commission Public
* KAREN S. NIELSEN
1pRr ny t'.
�+° °F_State
# 20
M 207484
of Florida -Notary Public
aF, C
- -
(Signature of Nota rlr��2, 2022 res
(Signature of Notary ub�����`[e dflFl6ridar}ssion ExpiresdflFl6ad ssion Expires
June 12, 2022
Commission No. (Seal)
Commission No. e
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7119