HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/11/16 Permit Number:
1�
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential Res
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPQSED IMPROVEMENT LQCATIO'N
Address: 7908 LockWood Dr. Ft. Pierce FL.34951
Legal Description: Lakewood Park Unit 3-BLK 24 Lot5 (map 13/11 S) OR1128-159)
Property Tax ID#: 1301-603-0207-000-9 Lot No.5
Site Plan Name: Block No. 24
Project Name: Culvert
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION QF WQRK
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Install new culvert and drive way - (,� \J��
G / C-1K 36cro P_S�:.7_ U__:3 - t bermks
I
CONSTRUCTION
IN
Additionalworkftoj e ormed under this permit—check a appy:
HVAC 0 Gas Tank Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 2,100.00 Utilities:Sewer ElSeptic Building Height:
OWFNER LESSEE
/p CONTRACTOR:
NameSteven A. Smith Name: Earl Gaines
Address:8001 Eden Rd. Company: E & B Elite Services Inc.
City: Ft. Pierce State:FL. Address: 5821 Starcher Ave.
Zip Code: 34951 Fax:N/A City: Ft. Pierce State:FL.
Phone No.(772)519-0230 Zip Code: 34947 Fax: (772)465-2351
E-Mail:N/A Phone No. (772) 577-0826
Fill in fee simple Title Holder on next page (if different E-Mail: ERLGAINES@COMCAST.NET
from the Owner listed above) State or County License: CGC1517445
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUP',PLEIVIENTA°L CONSTRUCTION LIEN LAIN INFORMATION: `
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 recordihg your Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLCOUNTY OF ORIDA3E L G�J COUNTY OF STATE OF FLORIDA
The or ng instr nt Was acknowledge efore me The f�rg_oing inst ume t was acknowledged before me
this day of ! 20by this ay of 20 G by
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(Name of person acknowledging) (Name of person acknowledging) i
(§Ig6turelof No a Public-State of Florida) SiNo Public-State of Florida )
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS