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Home My WebLink Aboutbuilding permitPlanning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 COr0rDe[cia! Residential Site Plan Project Name: |n� um) Additiona|work tobeperformed under this permit— check all that apply: —Mechanical — GasTank — Gas Piping — Shutters Windows/Doors __Electric __Plumbing __Sprinklers __Generator ___Roof Pkzh Total Sq. FtofConstruction: Cost of Construction: $ ' Zip Code: Fax: Phone No. E-Mail: from the Owner listed above) Sq. Ft. of First Floor: Utilities: __Sewer __Septic Building Height: Address: rh dd 11rity: ress, Zip: - Phone — FEE SIMPLE TITLE HOLDER Name: Address: City: Zip: Phone:_ IV CI I I It=. Address: City: Zip: Phone: Not Applicable BONDING COMPANY Name: Address: City: Zip: _ Phone: State: —Not Applicable � 11 T*'11T1VEA7_U1*TrTfKAU_I *X-AFF171"ITT7—Application is hereby made to obtain a permit to do the work and installation as indicateT 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 WITY YOUR LENDER 1*11 Signature Or owner/ 1*7sseeft_o'rilfactor as Agent for Owner S'S.Tatriiof,(:6-ntractor/LicenSeHoicier STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF ssf to cie The forgoing instrument was acknowledged before me The for . . trU ent Was acknowledged before me q? ing ins 7i thi day of ADY-1 20c> by this day of 202,c by 67 1 c1A _ Je14 + Tame of rson making stayement. Name of person making statement. Personally Known — OR Produced Identification Personally Known �,_ZOR Produced Identification Type of IdentificationType of Identification Produced (5 ,S, KE CARVE to KEVIN' DARN E S MYC0,k9,A1SSl0N#&3919796 "y C, NIKIISSION # G3 EXPI RES: Ociober 91979 EXPRES, October 6, 2023 20 Sr dcd Thru Notary Pubkc Ui,,dcrafiv r,, < (Signature of Notary Public- State e of Notary Public- State of Florida q 19 Commission No.7% .LG (Seal) Commission No. 6 Cq) 9 q 6 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev, 2/7/19 JOSEPH 'I PREPAREDTHIS INSTRUMENT OutletNarne: Fence ,. .# Melbourne, FL 32904 Permit Number: Parcel ID Number: The undersigned hereby gives notice that improvement writ be made to certain real ro e following information is provided in this Notice of Commencement, p P rty. and in accordance with Chapter 713, Florida Stan,:A� t 1. DESCRIPTIOPN O PROPERTY: (Legal description of the Property and street address if s`_ «l Q.ofL*— tt«, e t 2. GENERAL DESCRIPTION OF -i r Pee Simple Title Holder Of other than owner listed above) E IMPROVEMNT: s _ds l_4 4. CONTRACTOR: Name: Fence Outlet Address: 25 S- Wickham Rd. Melbourne, FL 32904 Phone Number {321?802-6480 S. SURETY (tf applic ` ble, a copy of the payment bond Is attached): Name:_- ,._,._ it r 7. Persons within the State OfFlorldaDesi .by Owner Upon. notice other .«ruments In addition, Owner designates to receive a copy of the Lienor's Notice as Provided in Section 713.13(1}{b}, Florida Statutes'Phone number: Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) s « aNOTICE OF ( m ar Lessee, or Owrtet's or Lessee's .4utlrortaatl OKrcerRFrectorJr'attnedhRanxpEri (Print Namt �rrovide 3igaatorys TiGerCXfice} State of _ (t j, County of f The foregoing instrument was acknowledged before me thls by — day of l 2Q �NaMeofson making ssatemant Who is Personally known to me L7 OR who has produced identification ❑ type of Identification Produced: A v KEVIN CARNES � rg 14yCOMMf8SION#GG9f9796 SPIRES; 0ctaber 6, 2023 h a ary s;gnawra rr=�• Bemtod Thiv t(aEagy F df(c UndeRvri,ers 5 r-022 Rev. A 9f1219 9 Reference only FENCOUT-01 it I # i'. CERTIFICATE OF LIABILITY INSURANCE y 1:: I III 12/19/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must If SUBROGATION WAIVED, . ♦conditions. policy,policies may requirehave this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCERCONTACT Stahl Morse & Associates PHONE iFAX 1/1 Wekiva SpringsRoad Longwood, ADDRESS: ♦'. s INSL INSURERA Allied Pr INSURED Fence Outlet Inc., Fence Outlet of Oviedo Inc., Fence Outlet INSURER B Nati_onw of Tampa Inc, I INSURER c :Travelers Fence Outlet North Port LLC, Fence Outlet Melbourne LLC - Fence Outlet Port Richey LLC, Fence Outlet Daytona LLC INSURER D :Zenith Ir 9671 S. Orange Blossom Tr. INSURER E : Orlando, FL 32837 INSURER F : Ins Co of Companyperty Casualty , + THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR', POLICY EFF POLICY EXP T - LTR TYPE OF INSURANCE INS WVD POLICY NUMBER' MM DDIYY MMIDD YYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 _- j CLAIMS -MADE X OCCUR :ACPGLP05903684403 12/31/2019 ' 12/31/2020 DAMAGE ro RENTD T PREMISES (Ea occurrence) 100,000 5'®00 _MED EXPSAny one persons - $ _ -- — -- 1-..EPLI _—''..PERSONAL &ADV INJURY �$ 1,000,000 GEN'L AGGREGATEJLIMITAPPS PER GENERAL AGGREGATE_ 2,000 000 X POLICY � LOC 2,000,000 COT PRODUCTS -COMP/OP AGO _$ OTHER: EPLI $ 1,000,000 B AUTOMOBILE LIABILITY .. COMBINED SINGLE LIMIT 1,000,000 X ANY AUTO _ ACPBAZ5903684403 -, 12/31/2019 : 12/3112020 BODILY INJURY_ Perperson) $ -- - --- --- r OWNED i SCHEDULED AUTOS ONLY _ AUTOS BODILY INJURY (Per $ IL AUTOS ONLY _ AUTOS ONLY y HIRED NON OWNED (Ip PccERTY� MAGEaccident) (Per ade $ 10,000 X UMBRELLA X OCCUR EACH EACH OCCURRENCE- $- 10,000,000 I ExCESSLIABIAB ZUP-7120191-19-F ------ — -_ 12/31/2019 12/31/2020 i 10000,000 --. - -- X T _i ox0- AGGREGATE — _ $ , DED RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X PER OTH- STATUTE J ,_ER Y f N Z136381801 ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH 12/31/2019,12/3112020 ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NIA: : (Mandatory in NH) - 1,000,000 f yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYEE' $_ __ -_ E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Equipment Floater ACPCI P5903684403 12/31/201912/3112020 iScheduled Equipment) 612,072 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Il I AUTHORIZED ACORD 25 (2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD