HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date �� ��_� Permit Number: 1
I
i 1 ) RECEIVED
- - Building Permit Application JUN 04 2019
Planning and Development Services
Building and Code Regulation Division L ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 12038 Riverbend Rd. Port Saint Lucie FL
Property Tax ID#: 4422-502-0014-000-0 Lot No.10
Site Plan Name: Block No.
Project Name:
I
[DETAILED DESCRIPTION OF-WORK: 1`
Install new aluminum site fence and access gates d �i 4— ci�i ,r �S(-.l��r l\ G 1 Gra J.
QCln. r d} �e�r� C-r�c /�9 t-rn r t�. �g.rt ;.�r �y, Arlt wl��� 5044k
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CONSTRUCTION NFORMATION:
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Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 400 linear feet Sq. Ft. of First Floor:
Cost of Construction:$ 2,300 UtilitieIs: _Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Justin Poma Name:Owner/Builder
Address: 12038 Riverbend Rd. Company:
City: Port Saint Lucie State: FL Address:
Zip Code: 34984 Fax: City: State:
Phone No.772 263 0360 Zip Code: Fax:
E-Mail:Justin@pomametals.com Phone No
Fill in fee simple Title Holder on next page( if different E-Mail
from the Owner listed above) State or County License
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN-LAW 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: Not Applicable !3ONDING COMPANY: x Not Applicable
Name:JustinPoma Name:
Address:12038 Riverbend Rd. address:
City:Part Saint Lucie City:
7
Zip: 34984 Phone:7722630360 Zip: Phone:
1" Y
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 I ill authorize thepermit 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 ieview 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 riooms 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 IMP60VEMENTS TO YOUR PROPERTY. A NOTICE OF COMMNCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU I�TEND TO OBTAIN FINANCING, CONSULT
WITH YOUR,LEND R OR AN ATTORNEY BEFORE RECORDING YOUR NO-`ICE CO MENCEMENT."
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Signatu=FLOR
ssee/Contractor as Agent for Owner Signatur cto
STATE STATTE�
COUNTY OF CO N� TY OF
The�oing instru ent was acknowledged before me The for s rum nt was ackno efore me
this day of 20)1 by this d 20/ y
Name of person making statement. / Nam ement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identifica ' Type of Identification
Produced Produced
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(Signature of Notar u li -S a (Signature of Notary Public-State of Florida)
KAREN S. NIELSEN
Commission No. State of Fiorid434a#ry Public Commission No. (Seal)
_* *= Commission # GG 207484
My Commission Expires
'11111W,
REVIEWS R T ZONING SUPERVISOR j PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2 7 19