HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ::V• 7 "'o Permit Nu
Building Permit A
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
01!J I 0 -
All
FEB 7 2020
Permitting Department
St. Lucie ounty, FL
PERMITTYPE: FENCE POOL BARRIER
PROPOSED IMPROVEMENT LOCATION: "
Address: 13329 NW BAYWOOD PL, PALM CITY FL, 34990
Property Tax ID #: 4425-703-0037-000-3
Site Plan Name:
Project Name: ALUMUNUM FENCE POOL BARRIER
Lot No. 32
Block No.
DETAILED DESCRIPTION OF WORK,: -
INSTALLATION OF APPROX 1547T FO BRONZE ALUMINUM POOL BARRIER 41FT TALL & 3 WALK GATE
WITH SELF CLOSING HINGES & CHILD PROOF MAGNA LATCH
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2000 Utilities: —Sewer —Septic
_ Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSE't ' r "�
CONTRACTOR
Name AFSHAWN TOWFIGHI
Name:
Address: 13329 NW BAYWOOD PL,
Company:
City: PALM CITY State: _
Zip Code: 34990 Fax:
Phone No. 954 445 0173
Address:
City: State:_
Zip Code: Fax:
Phone No
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
State or County License
n vaue or construction is>zbuu or more, a KELUKDED Notice of commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIENI LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 ermit holder to build the subject structure
which is in conXict with any applicable Home Owners Association rules, bylaws or an9covenants 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."
Sig t irq, caner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE O FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instrume wa acknowledged before me
The forgoing instrument was acknowledged before me
this r day of 2 by
this day of 20_ by
-To
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identificii,
Type of Identification
Produced ,J//1(„
t/Y7 t
Produced
(Signature o Not
-
(Signature of Notary Public- State of Florida )
Irt!t,, NJDREYB.HUMPHREy
Commission No.
_ ; : COMIRS�OHlIGG 617
Commission No. (Seal)
's• .s EXPIRES: March 6, 2M3
f Na
DIM fts-
REVIEWS
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
FRONT
ZONING
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Nev.