HomeMy WebLinkAboutFence Permit Application 061520 - PolhemusAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (.f Jon Permit Number: 2006-0182
Building 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:FENCE PERMIT
PROPOSED IMPROVEMENT LOCATION:
Address: 11001 S INDIAN RIVER DR
Property Tax ID #: 3532-503-0030-000-6
Site Plan Name: FENCE
Project Name: POLHEMUS POOL FENCE
DETAILED DESCRIPTION OF WORK:
lnsto_u (3� �k' wood pi - y tyOL Qa*ts
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
_Mechanical
Electric
_ Gas Tank
_Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3,000.00
_ Gas Piping
_ Sprinklers
Lot No. 2&3
Block No. 3
_ Shutters -Windows/Doors _ Pond
Generator Roof Pitch
Sq. Ft. of First Floor:
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 Stater
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-MaiIBCENK@HOMECRETEHOMES.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 CONSTRUCTI LIEN LAW INFORMATION:
DESIGNER/ENGINEER: jZ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
BONDING COMPANY: _NotApplicable
Name:
Address:
City:
Zip: Phone:
Address:
City:
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 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-residentlal use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucia County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
; th lender or an attornev before commencine work or te&ordine vour Notice of Commencement.
Signature
as Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFA-rik 1 ` TJ -E. COUNTY OF 4ttt
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