HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO;BEACCEPTED`
Date: a-`��. w Permit Number:
_ RECEIVED..
I1 "
• FEB 2 " ?9
-� - Buildin Permit A licati
g pp -Lucie County, Permitting
Planning and Development Services
Building and Code Regulation Division - - - -
2300 Virginia Avenue,-Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462=1578 COITI'rherCial Residential XX
PERMIT TYPE:F@110E',
RROPOSED,INI,PROVEMENT LOCATION `
Address: 25 Aqua Ra Dr Jensen Beach,.FL.34957.
Property Tax ID#: 4511-811-0022-130/1 Lot No. .
Site Plan Name: WINDMILL VILLAGE BY THE SEA-UNITTWO Block No.
Project Name:
DETAILED DESCRIPTION OF WORK F
D;, '
47ft x 6ft high White,-Tongue and Groove.PVC fence,7/8"x,6"pickets, 1-3/4"x 5-1/2"rails,6.'sections.with one matching
6'H Tongue and Groove 3ft wide PVC entry/walk gate.22ft x 4'H PVC Flat Top Picket fence,1-1/2"x 1-1/2"Pickets with 3-1/2"spacing,6'sections
with.one matching 5ft wide walk gate.9ft.x 3-1/2ft high PVC Flat Top Picket to enclose existing wall
'CONSTRUCTION INFO`RIVIATION
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:$ 2,637 Utilities: —Sewer _Septic Building Height-.
OWNER/LE"SSfE fJMNTRACT :,
Name Lou Anne Reagle Name:Jay R Cash
Address:25 Aqua Ra Drive - Company:Fences By.Cash LLC t
City: Jensen Beach State:_ Address:1772 SE Durango St
Zip Code: 34957 Fax: City: Port St Lucie State:FL" '
Phone No.(772)486-6786 Zip Code: 34952 - - Fax:
E-Mail.louannereagle@yahoo.com Phone No (772)777-2808
Fill in fee"simple Title Holder on next page(if different . E-Mail fericesbycasli@coriicast.net
from the Owner listed above) State or County License30620
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: _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 wofk: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-an covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and,
nd 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 user
"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 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."
Signature O ner Lessee/Contractor as Agent for Owner Signature-of C r5 r/License Hol
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5 k• COUNTY OF sa-,
The forgoing instrumgnt was acknowledged before me' The forgoing instrument was acknowledged before me
thisa-<P day of - N\-3- 20 by , this?� day of �-►� 20x0 by
Name of 6erson making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced - ((Produced 117)L
.(Signature of Notary.Public-State'of.Florida) : (Signature of,N...atary, bfi iDEIAMENA AX o p)5 r
ARIE GNENS ' •°° MY COWASSIoN,#GG 072023
Commission No. diad CommissionNor .. ecember` ifh)
'' DEF�NN N#GG 0220 �..ico ota Public underwntets�
01(FAISSIO 6 2020 3',%} oe. Qondedlhru �Y-
a°°CYC heti i '`�uFF�.•
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REVIEWSFRO `f r'��% ONIN SOR PLANS VEGETATION SEA TURTLE MANGROVE
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COU REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19