HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE:ACCEPTED
Date: SI.1'�",a-a Permit Number: l7 C� Q a�
__ --- - Building Permit Application ,. �� �,
Planning and Development Services 3 `�Zfl
Building and Code Regulation Division ,f,, ST.-Luc
ie County, Permittin
2300 Virginia Avenue,Fort Pierce FL 34982 g .
Phone: (772)462-1553 Fax: (772)462-:1578 Commercial -Residential XX.
PERMIT.TYPE:Fence, . .
PROPOSED IMPRO.VEMfNT:L`OCATIO'N
Addr'ess:'6013 Papaya Drive,Fort Pierce, FL-34982-3771=
Property Tax ID#:'3402-610-0562-000/3,.. Lot No.30
Site Plan Name: Block No. 88
Project Name: Martz,
DETAILED DESCRIPTION QF WORK
z
76ft x 8ft High Wood Shadow,Box fence connecting to existing fencing.
one 5 ft wide entry gate
one 15ft wide double drive-gate
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CONSTRUCTION]NFORM
ATtON: *N
E
Additional work to be-performed .under this permit–check all that apply: - ,
_Mechanical _Gas Tank"y _Gas Piping _Shutters' _Windows/Doors
_Electric _Plumbing _Sprinklers . —.Generator.-.;K Roof.,-.I Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:`$ 2,955.00 Utilities: _Sewer _Septic Building Height:
01NNER/LESSEE CONTRACTOR: s
NameJesse Martz Name:Jay R-Cash
Address:6013-Papay_a-Dr- Company:Fences 6"y'Casf LLC
City: Fort Pierce:' ° State _ Address'1772:SE:Durango St
Zip Code 34982 3771 -Fax: C��v Poit;S€`Lucie State:FL
PhoneN6:(772)249-6220 : Zip-Oode;'`'34952'`"'
E-M "11:-affordableairrepairllc@gmail.com.. Phone`'No'(772)77.7,-28Q8`•.': :.`-
Fill in fee simple Title Holder on next-page(if different' :E-Mail-fencesbycash@domcasf:net
from the Owner listed above); State or County LicenseSLC30620
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.
SUPPLEMENTALCONSTRIJCTION 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 thepermit 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 ofOwn sse /Contractor as Agent for Owner Sign20F
a for/License Holder-
STATE OF FLORIDA STA FLORIDA
COUNTY OF 5h. c:-%e COUNTY OF ""Sk.
The forgoing instrument was acknowledged before me The foing instrument Was'ackndwledged before me
this L day of,'M0. , ,20AQ by this %rgoday ofyh ay 20Z,,40 by
•Jcs.•c Cash; �",y C v.s
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 yC` 1— Produced !2& L
(Signature of Notary lic-State'of,Florida) (Signature of Nota
N•.1„
DEANNAMARIE.. NENS.
GNB ' ',sti:! 023
Commission No. d a unRIE 23 COMMISSION _472
DN#GGA Commission No • _ 020
SIO RES:DeCe�
_•;r;'u;�fia; MY COMMIS m 18'220teis -, °r f pwieUndervalters
Undervfi ;F o Bonded ThN Notary
• Of F�.••
ir• L1;oedZtW
tai• i RC_
REVIEW_ S FRO •�•• R PERVISOR' PLANS VEGETATION SEATURTLE MANGROVE
COUN EVIEW REVIEW REVIEW.'. REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE _
COMPLETED
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