HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE I FFO``MPST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ^h ` Permit Number: I
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 x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 5209 S Indian River Dr
Legal Description: 5209 S Indian River Dr
Property Tax ID M.0�0 --G n Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove and Replace old Concrete Drive way 30,,o E'5► 'I^' F.'ber
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CONSTRUCTION INFORMATION:
Adclitional work to be nertormed under this permit—check all appy:
HVAC Gas Tank Gas Piping =Shutters Q Windows/Doors
aElectric Plumbing Sprinklers FIGenerator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 999 Utilities:n Sewer[]Septic Building Height:
OWNER/LESSEE:: CONTRACTOR:
Name Douglas Markwardt Name: Juan Moran
Address:5209 S indian River DR Company: Cove Concrete&Co LLC
City: Ft. Pierce State:FL Address: 9156104th Ave
Zip Code: 34982 Fax: City: Vero Beach State:FI
Phone No.561 8599751 Zip Code: 32967 Fax:
E-Mail: Phone No. 7724533434
Fill in fee simple Title Holder on next page(if different E-Mail: Coveconcrete@gmail.com
from the Owner listed above) State or County License: CRC1331029
If value of construction is$2500 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: 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:
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.
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_Signature of Owner/Lessee/Agent Signatuiteof Contractor/License Holder
STATE OF FLORIDA STATE OF ORIDA �FI
COUNTY OF COUNTYOF
The f oin tnstru n was acknowled ey�e-fore me The flor�oing instru e t was acknowledged efore me
this day of �J 20 ►L�y this `� day of 20y
(Na of person acknowledging) (Name of person acknowle ing)
(Signature of Nota Public-State of Florida) (Signature of Nota ublic-State of Florida)
Personally Kno if ton Personally Known I 4LdycNt entifi
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
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