HomeMy WebLinkAboutPermit Application - A&G - RoafAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6-15-2020 Permit Number:
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L L' Building pp Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Aluminum Pool Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 7683 Pelican Pointe Drive, Jensen Beach, FL 34957
Property Tax ID #: 3522-700-0013-000-5 Lot No. 9
Site Plan Name: Pelican Pointe West Block No.
Project Name: A&G Concrete Pools (Roaf Residence)
DETAILED DESCRIPTION OF WORK:
4' High Aluminum Pool Fence - 88' L.F. w/1 - 4' wide Gate
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 _ Windows/Doors Pond
Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: 88' L.F. Sq. Ft. of First Floor:
Cost of Construction: $ 3,745.00 Utilities: —Sewer —Septic Building Height;
OWNER/LESSEE:
CONTRACTOR: ON
Name:Jason D Prince
Name Roaf, William L.
Address:19008 SE Loxahatchee River Road
Company: Prince Development Group, Inc.
City: Jupiter State; _
Address: 3608 E. Industrial Way
City: West Palm Beach State: FL
Zip Code: 33458 Fax; N/A
Phone No.772-878-7752 (A&G Concrete)
Zip Code: 33404 Fax: 561-855-4821
E-Mail: N/A
Phone No561-840-3300
Fill in fee simple Title Holder on next page ( if different
E-Mail princedevelopmentgroup@gmail.com
State or County License CBC-1256464
from the Owner listed above)
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:
Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Address: _
City: State:
Zip: Phone;
BONDING COMPANY. Not Applicable
Name:
Address:
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 permit holder to build the subject structure
which is In conflict with an 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, f `nces, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAI RE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IIN YOUR PAYING
TWICE FOR ItMPROYEMENTS T YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
P05 ON THE JOB SITE B ORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCWG, CONSULT
WITH UR LENDER OR AN A OiRN EY BEFORE RECORDING YOUR, NOTICVAWt:•QMM£NCEMENT."
Signature of
Agent for Owner l/Stgnaore of
Holder
STATE OF COUNTY OF ORI+� l' L OUNTY OF E OF FLORIDA PRAM &ACL
The forgoing instru ent was acknowledged before me
this _LL day of u!' le . 20L23 by
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Name of person making statement.
Personally Known 0 r®duced Ident1fication
Type of Iden iflcation
roduced P
Theo pipg m in t was acknowledged before me
this day of 20a-�) by
i�L i ( n C-P--
Name of person ma:70R
tement.
Personally Know Produced Identification
Type afldentlf[cation
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