HomeMy WebLinkAboutBuilding Permit Application J�
ALL APPLICABLE INFO
pMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
- RECEIVED
Building Permit Application
Planning and Development Services JUN-441018-
Building
UN- �410�8 .
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 - ST'. Lucie County, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Reside' ntial XXX
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 3707-Mockingbird,Hill Ln Jensen-Beach, FL 34957
Legal Description: 4 37 41THATPART OF SEC DESC IN DBK 149 PGS 73-75,"N 30FT OF S 116.89 FTOF ELY ...
375 FT LYG WLY OF IND RIV DR-ANDTHAT,PART OF.SLY•101.89 FT OF S 200 FT OF N 380 FT.LYG-BTWN WLY 426 FT'AND ELY 375 FT,
Property Tax ID#: 4504-310=0018-000/0LotNo.13
Site Plan Name: VERANO PLAT 4 . Block No: 1
Project Name:
Setbacks Front Back: Right Side: Left,Side:•,
DETAILED_DES,CRI.PTION.OF,WORK:,.--
Install 208ft of 6ft high wood, board on board fence around front and sides of house including a aft
wide walk gate at front of house and 12ft wide°double drive gate at rear of house. z
CONSTRUCTION INFORMATION:
, ional work toe e orme _un er this permit–check a appy: i L,
HVAC II Gas Tank aGas•Piping Shutters_ -- .F Windows/Doors
Electric Plumbing Sprinklers Generator 1:1Roof Roof pitch
Total Sq: Ft of Construction: "— - S Ft. of First Floor:-- `- -- -
Cost of Construction:.$. : �;,..1 -`:"7tilities: _Sewer Septic Building HeigNf:•. ?'
,,. 7 i —...
01NNER/LESSEE.. �, : . CONTRACTOR
Name Sean CasselName: Jay R Cash`
F}
Address:3707 Mockingbitd;Hill 1n -'' _ +l•= Company: Fences:By-Cash LLC
:.
Jensen Beach ' -''' FL ti
City: ,State' Address: 1500 SE Royal Green Cir,A207
;Zip`Code: 34957 ; Fax: City: Port St Lucie State:FL":
Phone No.(772)24075518. " Zip Code: 34952 Fax:
E-Mail:sean@Pro-laminate.com Phone No. (740)310-6430 -
Fill in fee simple Title Holder on next page(if different E-Mail: fencesbycash@comcast.net
from the Owner listed- above) - State or County License: SLC 30620
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: , Not:.Applicable MORTG&GE COMPANY: _Not Applicable
Name: + Name:AaPLE sh
^^h' -��^� 7 ill Ln
Address-����^^^� � '�• r�ear�raas5z Address: s -
City:JState: City: Portst Lucie State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address:150()-61 - . 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 thatmay 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,reviews 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.-,
Signal"e o ner/Lessee/Contractor as Agent for Owner Signature o for/License Holder
STATE OF FLORIDA rt STATE'OF fUNUOA
COUNTY OF CL/hoN T COUNTYOF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this �7- day of -tzi Q;:__ .20/9 by this=-day of .J v N C .20. 0?.by,
Name-of persoryKaking statement Name of rson making statement
Personally Known >< OR Produced Identification Personally Known'" OR Produced Identification
Type of Identification Type of Identification
Produced. Produced
IAL-
��.•'2Q'��` 1/���q�=•CHRISTOPHER A.BRYAN CHRISTOPHER A. BRYAN
.� �. �. kir%T11 RV PI IRI I
.Public- to F r a p6lic- tat�8 �A
STATE OF Oj�IQ��
STATE OF Q Crim
K,,• K,« - p-emmission s -
4 ., ttAyeommission Expires ,- `,•O.
:5�, •,t i .; �,���` July27,2020 stS�j� '.`j .;.��,r' July 27,2020,
REVIEWS FRONT ZONING SUPERVISOR- PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE -
COMPLETED
Rev.8/2/17