HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/14/2020 Permit Number:
COUNTY
IF L r R I ID
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Fence
PROPOSED IMPROVEMENT LOCATION:
Building Permit Application
Commercial Residential
-I/-/-
Address: 6602 Woodsmere Way, Fort Pierce, FL 34951
Property Tax ID #: 1301-607-0251-000-4 Lot No. 30
Site Plan Name: N/A Block No. 79
Project Name: N/A
DETAILED DESCRIPTION OF WORK:
Install new wood residential fence with one new 4' wide gate, one 5' wide gate, and one 10' wide gate. Please see attached
detail.
CONSTRUCTION INFORMATION:
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: 211 LF
Cost of Construction: $ 2,000.00
Sq. Ft. of First Floor:
Utilities: __ Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name David & Sharon Swartzel
Name: Kevin R. Matyjaszek
Address: 6602 Woodsmere Way
Company: Excelsior Construction & Roofing
City: Fort Pierce State:
Address: 1882 SE Crowberry Drive
Zip Code: 34951 Fax: N/A
City: Port St. Lucie State: FL
Phone No. 772-293-1865
Zip Code: 34983 Fax. 772-618-6660
E -Mail: N/A
Phone No 772-418-8809
Fill in fee simple Title Holder on next page ( if different
E -Mail info@exceisiorconstruction.net
from the Owner listed above)
State or County License CGC1521911
IT value of construction is $Z500 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 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 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 of Own e ssee/Contractor as Agent for Owner
Signature of Contracr icense tolder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 51. ell
COUNTY OF _5X Zeer,,!e
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 170 day of i _ , 20 0 by
this /y day of _ , 20__,Wby
,'
xIA) R.
Name of person making stat46ient.
Name of person making sta ement.
Personally Known _ OR Produced Identification
Personally Known 1Z OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced_
1
AW
..
UU,,W A
(Signature y ~''
of Notary Pu Iic, jS; ' r�,of F1006AINE CHENAULT
��
(Signature of Notary Public- State of roc Y - , CHARMAINE AULT
?' '• * MY COMMISSION # GG 947824
Commission No. �'• �o;=il":Apri124,2021
*'• = MY COMMISSION # 947824
Commission No. (6gVt?a? Y EXPIRES:Apn
V7 '�� ;,F; °` Bonded Thru Notary Publ. Underwriters
2 2021
'•'.°F,F;;,•� Bonded Thru Notary PL bl; nderwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Zev.