HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABL INFO IYIUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: (eoq
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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: Concrete El
PROPOSED IMPROVEMENT LOCATION ;g `
Address: 5413 Eagle Dr. Ft. Pierce, FL. 34951
Legal Description: Holiday Pines S/D-Phase I-Lot 52 ( OR 1805-717)
Property Tax ID#.-iii00-0053-000-2 Lot No.52
Site Plan Name: Driv way Block No.
Project Name: Repair driveway
Setbacks Front30 Back: 64 Right Side: 11 Left Side: 33.8
DETAILED DESCRIPTION OF WORK
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CONSTRUCTION INFORMATION # � g
Additional work to be performed under this permit-check all appy:
HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 144 sqft. S . Ft. of First Floor:
Cost of Construction:$ 1500.00 Utilities:n Sewer Septic Building Height:
OWNER
/LESSEE
n
CONTRACTOR F
Name Larry S. Harris Name: Earl L. Gaines
Address:5413 Eagle Dr. Company: E & B Elite Services Inc.
City: Ft. Pierce State:FL Address: 5821 Starcher Ave.
Zip Code: 34951 Fax: City: Ft. Pierce State:FL
Phone No.(772)577-8306 Zip Code: 34947 Fax: (772)465-2351
E-Mail: 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: cgc 1517445
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPxPLEME, TAL CONSTRUCTION LIEN LAW INFORMATIONb
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _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 recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF _sk- L u
The"ing instrument was a .knowled efore me The INayof
ng instrument was acknowledged before me
this day of 201%11this 20 /Gy
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(Name of person acknowledging) (Na erson acknow dging)
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ersonally Known Produced Identification ersonallyKnq�yyt�, OR Produced Identification
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS