HomeMy WebLinkAboutAPPLICATION (Fence)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: S -)3 - J Permit Number.
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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 X
PERMITTYPE: Aluminum Pool Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 13320 NW Baywood Place, Palm City, FL 34990
Property Tax ID #: 4425-703-0040-000-7 Lot No. 35
Site Plan Name: Riverbend Block No.
Project Name: Gates Residence
DETAILED DESCRIPTION OF WORK:
4' High Aluminum Pool Fence; 314' L.F. w/4 Gates
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: 314' _ Sq. Ft. of First Floor:
Cost of Construction: $ 7885.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Chad Gates Name: Jason D Prince
Address: 13320 NW Baywood Place Company: Prince Development Group, Inc.
City: Palm City State: FL Address:3608 E. Industrial Way
Zip Code: 34990 Fax: City: West Palm Beach State: FL
Phone No. 772-486-8760 Zip Code: 33404 Fax: 561-855-4821
E-Mail:ramsey7634@aol.com Phone No561-840-3300
Fill in fee simple Title Holder on next page ( if different E -Mail princedevelopmentgroup@gmail.com
from the Owner listed above) State or County License CBC -1 256464
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY
Name: _ _ _ _ _ Name:_
Address: Address: _
City: State: City:
zip' Phone _ Zip: Phone
Not Applicable
State.
FEE SIMPLE TITLE HOLDER: _ Not Applicable. { BONDING COMPANY: Not Applicable
Name: I Name:
Address: Address
City._ _ -
Zip:. _ _ Phone _ - z._ip:. _.. ,,. _ _ _._._ W Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby madeto obtain a permitto 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, Ido 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 YQLI O CE Of COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF PALM BEACH
The f'arVIng instruiTient was acknowledged before me
this "X day of _ &NJ 2C1r��.'! by
Name of rerson making statement.
Personally Known - ORr0roduced Identiflcati+ rti
Type of Identif ratl rj
Produced
Y Ar,
(Signeu fc .ar u a Is- St* ;dd0rwnlsslon#GG 250143
�y� h �ryq ` Expirrtn August 30, 2022
_e V� OfILq (�if dThruElAoolNotarySorloa
Commission NoQ
REVIEWS FRONT
COUNTER
DATE
RECEIVED
MATE
COMPLETED
ev. 217f19
Siaxnatuie. of Contrdctor/Llcense Holder
STATE OF=FLORIDA
COUNTY OF PALM BEACH
The forg ng instrt ent was acknowledged before me
this ay of ► �/_ -_, 20� by
JASON PRINCE
Name of person making statement,
Arsonaliy Kn;w �.' OR Produced Identification
>e,of 16611, cation
Produced
(Signature of 1VtthA PPblic-
Commission
ZONING _I REVIEW_ S REVIIEWOR I RE EW�VREVIEWON
PLANS
K
CHERYL L
Expiros August 30,
SEA TURTLE MANGROVE
REVIEW REVIEW
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