HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: "/3 / 7
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_..._.._.__------__._.____.___ Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XXX
,PERMIT TYPE: Fence
r :
PROPOSED IMPRQUEMENT LOCATION
Address: 4920 Watersong Way Fort Pierce,'FL 34949
Property Tax ID#: 2532-500-0072-000/0 Lot No. 58
Site Plan Name: WATERSONG PUD PLAT NO. ONE Block No.
Project Name:
DETAILED DESCRIPTION OF WORK
Install 132ft x 4ft high White Straight top Picket, 3"spacing, 7/.8"x 3"pickets with 4"posts..
two 4ft wide PVC entry/walk gates
one 5ft wide PVC entry/walk gate
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: Sq. Ft.of First Floor:
Cost of Construction:$ 4,285.00 Utilities: _Sewer _Septic Building Height: .
OVVNER/LESSEE: CONTRACTOR: .:
NameJose A Montesr Name:Jay R Csh
_Address: 4920 Watersong Way Company:Fences By Cash'LLC
City:�Ft Pierce State:_ Address:1772 SE Durango St
Zip Code: 34949 Fax: City: Port,St Lucie State:FL
Phone,No. (305)968-7266 Zip Code34952 Fax:
E-Mail: jose.montes@partners,mcd.com Phone N6:(772)777-2808,
Fill inJee 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,tonstruction is$2500 or more,a RECORDED Notice of Commentement is required.
If value of`HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTION LEEN 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."
Si;gnatur ner/Lessee/Contractor as Agent for Owner SignaVOF
n ra for/License o er
S E OF FLORIDA S ATORIDA
-COUNTY OFCOUNTY OF
The forgoing instrun entwarms cknowledged before me 'The forgoing instrument was acknowledged before me
this day of �✓ 20Zby.. this 11,o day of A40<', L 20�by
Name of person 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
(Signature of Notary Public-State lorida) h4:30
Signature of Notary Public-State o. orida)
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Commission No. (Seal) ommission No. (Seal) n�� 3REVIEWS FRONT ZONING SUPLANS VEGETATION SEA TURTLE MAN TZr
COUNTER REVIEWEVIEW REVIEW REVIEWREV' �DATE RECEIVED °'_DATE
COMPLETED
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