HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a.Q.-I ;�Ln _ Permit Number:
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BuildingPerm � Llon 2 4 202b
Planning and Development Services -ty,Perm",
Building and Code Regulation Division FEB 2
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 COI11t11E' G!I . ,,; EP { tial xx
PERMIT TYPE;Fence
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Address: 27 Aqua Ra Dr Jensen Beach,,FL 34957
Property Tax ID#: 4511-815-0002-000/7 Lot No.
Site Plan Name: RIVER WATCH BLK 1 LOT 4 Block No.
Project Name:
89ft x Eft high Wood Shadowbox fence,one 8ft wide wood double/drive gate(s)and
two 5ft wide arched wood walk/entry gate(s)
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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: Sq. Ft.of First Floor:
Cost of Construction:$ 3,100 Utilities: —Sewer _Septic Building Height:
NameJames W Donlin,Jr Name:Jay R Cash
Address:27 Aqua Ra Dr Company:Fences By Cash LLC
City: Jensen Beach State:_ Address:1772 SE Durango St
Zip Code: 34957 Fax: City: Pt St Lucie State:FL
Phone No.(631)300-8533 Zip Code: 34952 .Fax:
E-Mail:jwd.fixit@gmail.com Phone No (772)777-2808
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 30620
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.
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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:
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 IMPROYEMENTS TOO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signatur er/Lessee/Contractor as Agent for Owner Signature for/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_ L ,� COUNTY OF
The ing instru w acknowledged before me The ng instru acknowledge efore me
thi day of 2t�by this day of limy
Name f pers4n making statement. Name of per on making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification i✓
Type of ldentif' on Type of ldentificati
Produced (.� Produced
(Sign A 1 L (Signat ram
tttOKAREN S. NIELSEN
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,State of Florida-Notary P iiG ,oa
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My Commission Expires ° My CommissionGExp{ss
June 12, 2022 'F- OFftflp.•
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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DATE
COMPLETED
v.2/7/19