HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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: Fence
E
PROPOSED IMPROVEMENT LOCATION:
Address: 83 Aqua Ra Drive
Legal Description: River Watch BLK 4 Lot 2 (OR 4029-297)
Property Tax ID #: 511-815-0011-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install fence 4 %J VII)Y/ —TWO lQ � ss )11�h 40r-11151—tom ` /2 ' fiV- 7 - - fro
,1 ,
���� i�as �'�2 sf�� ��✓ ������ t�� �'rr�'t� ��s �er�� �d off,
Haamonai WorK to De rrormea unser tnis permit — check all apply:
HVAC - Gas Tank ❑Gas Piping _ Shutters Windows/Doors
11 Electric Q Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $� di°' Utilities:DSewer Septic Building Height:
OWNER/'LESSEE:
CONTRACTOR:
Name PSL Foreclosures LLC, Phogh Enterprises LLC
Name: Don Hinkle
Address: 725 SE Port St Lucie Blvd Ste 205
Company: Don Hinkle Construction, Inc
City: Fort St Lucie State: FL
Zip Code: 34984 Fax:
Phone No.772-370-6424
Address: 4305 S Indian River Dr
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-467-1348
Phone No. 772-528-2249
E -Mail: mickey@mickeybradley.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail donhinkle@bellsouth.net
State or County License: CGC036040
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ER/ENGINEER: Not Applicable
N a me: PSL Foreclosures LLC. Phogh Enterprises LLC
MORTGAGE COMPANY: _ Not Applicable
Name: Fon Hinkle
Address: 83Awa Ra uh-
Address: 725 SE PortSt Lucie Blvd Ste 215
C
City: PortSt Lucie State:
Zip: Phone
C
City: Fort Pierce State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Add ress:4w5 S Indian River Dr
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 e first inspection. if you intend to obtain financing, consult with lender or an attorney before
comcing work or recording your Notice of Commencement.
of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF t E COUNTY OF_S+ Lucie
The for ging instrument was acknowledged before me
this day of ffkOLMC-'_t , 20(Kby
. SvlkmO_ fbvz A'( \
Name of person making state5lent
Personally Known OR Pro ced Identification
Type of Identification
Produced 1 L BYRNES
NOTARY PUBLIC
STATE of FL.ORiDA
Comn* F:F 7191
(Signature ARM P ir9% ida )
Commission No.
(Seal)
The forgoing instrument was acknowledged before me
this „_] ____ day of MQy- CNN , 20j_B by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
- a+ TOfN JAMEi-MtlDy
My COWL '
(Signature of Notary blit- S ) COAM WM# FF 22'
Commission No. PF AQ S LO ExpkEs Ate•
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. $/2/17 p,, TONI JAMES -BROWN
Notuy PuttNt - St" of FIoft
C" 41111WO FF 121919
Com. 9yMrs Mt 14. Will