HomeMy WebLinkAboutGates Residence - Permit Application - CorrectionAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _5 l "!j Permit Number: r.
•
"moor + �.� 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 Felice
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:
1
_
4' High Aluminum Pool Fence; 314' L.F. w- 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 No 561-840-3300
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 -1256464
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: Not Applicable
Name: _ _ Name:
Address: Address° _
City:- State City: State:
7ip. Phone Zip: _ Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY: Not Applicable
Name: Name:
Address: Address
City: City:.-- - - _--
Zip: Phone: Zip:
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 YO {3TICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contr- ctor/License Holder
STATE OF FLORIDA STATE 6FF RI DA
COUNTY OF PALM BEACH COUNTY OF NAI M BEACH
The for Ong ins: rul lent was ac1now1ydgPA1 before me
this. a" , day of > O�,_ 2.OM by
Name of erson making statement.
Personally Known OR,fT'atiop�
roduced Identific_
lope of Iderl01WtIon _..
Produced bL ��=
(Signatur`Rdf Roo
Commission No( -
REVIEWS FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
lev. )/7/19
The forg� nP instr t aril was acknowledged before me
this ay of _ D.V 20?"h by
JASON PRINCE
Name of person making statement.
`rsorrally Kin OR Produced Identification
1 �w�f 1tf0nt �catlon —
Prod�ced_,.___.__
CHERYL L
*daCbmmisslon#1313250i (Sign aturepfN(Aar� Pl-iblic-State o4 +"
Expires August 30, 2022 "! o` Bonded
as August 30,
�•Ofr jy'� 9ondeAThruBudpe(NOkq
(StW4dThruBuagotWary UNI Commission No. [� 3 J{ al)
ZONING SUPERVISOR
REVIEW REVIEW
PLANS
REVIEW
VEGETATION
SEA TURTLE
REVIEW
REVIEW
MANGROVE
REVIEW