HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/02/2020 Permit Number:
44o LZ.UC�OC� `:-
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial_ Residential
2300 Virginia Avenue, Fort Pierce FL 34,982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:FENCE PERMIT
PROPOSED IMPROVEMENT LOCATION:
Address: 11001 S INDIAN RIVER DR
Property Tax ID #: 3532-503-0030-000.6
Site Plan Name: DETACHED GARAGE
Project Name: POLHEMUS GARAGE
I DETAILED DESCRIPTION OF WORK:
POOLFENCE I
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ i7
_ Generator
Sq. Ft. of First Floor:
Lot No. 2&3
Block No. 3
-Windows/Doors _ Pond
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameTHERESA POLHEMUS
Name:ROBERT CENK
Address: 11001 S INDIAN RIVER DR
Company:HOMECRETE HOMES INC
City: FT PIERCE State: ft,
Zip Code: 34982 Fax:
Phone No. 845-641-6510
Address: 2162 NW RESERVE PARK TR
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax: 772-873-6686
Phone N0772-873-6707
E -Mail: POLHEMUST@AOL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-MailBCENKLHOMECRETEHOMES,COM
State or County LicenseCGC062378
If value of construction Is 2500 or more, a RECORDED Notice of Commencement Is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
zzuz Z
Signatu of C nt act License dderi
DESIGNER ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY:
Name:
x Not Applicable
Address:
Address:
Swo to (or affirmed) and subscribed before me of
Ph sical Presence or _ Online Notarization
thlsday of � p 2020 by
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY:
Name:
x Not Applicable
Address:
Address:
ature of Notary Publ' - Sta
City:
City:
REVIEWS
Zip: Phone:
Zip: Phone:
SUPERVISOR
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 anv 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 paying twice for
improveFrpnts to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Cffit and pyte� on the jobsite before the first inspecti . f you intend to obtain financing, consult
with derAnr mn atforhev before commencine work or recordfnMour Notice of Commencement.
UE6-IL�
zzuz Z
Signatu of C nt act License dderi
Signa a of ner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OFFLORIDA
COUNTY OF �Nw�_
COUNTY OF S L , v
Swo to (or affirmed) and subscribed before me of
Ph sical Presence or _ Online Notarization
thlsday of � p 2020 by
Swop to (or affirmed) and subscribed before me of
✓ Ph�y�,ical Presence or_ Online Notarization
this�dayof, )lkmle 2020 by
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'l ooert OeA IL
Name of person making statement.
Name of person making statement,
Personally Known V/" OR Produced Identification
Type of Identification
Produced
al
Personally Known\�OR Produced Identification
Type of Identification
Produced
(Sign tura of Notary P Sta
ature of Notary Publ' - Sta
Notary Public StWo of F
Commission No. hWisaa D Showman
MY cammillsion Goawe" 70124=3
F Note �y Public Stale of Flodch
Co Ission No. v� �/ (Sellepa D Showmen
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.5/6/20