HomeMy WebLinkAboutBuilding permit application ANA
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED_
Date: Permit Number:
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Building Permit Application
Planning and Development Services JUS ® 8 2010
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 Permitting Department
-Phone: (772)462-1553 Fax (772)462-1578 Commercial Residential At'count"
PERMIT TYPE:,,Fence Pool Barrier
.PROPOSED-IMPROVEMENT LOCATION:
Address: 5012 Watersong Way Ft Pierce, FL 34949
Property Tax ID#: 2532-500-0081-000/6 -Lot No.67,
Site Plan Name: WATERSONG PUD PLAT NO. ONE Block No.
Project Name: Taylor
DETAILEDDESCRIPTION QF..WORK:
Install 11 9f x Oft
White Straight Top Picket fence,.3"spacing; 7/8''x 3"pickets with 4",posts
Two 6ft wide PVC entry walk gates with self closing hinge, magnet latch-pool code
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: Sq. Ft.of First Floor:
Cost of Construction:$ 3,756.00 Utilities: —Sewer Septic Building Height:
OWNERAESSEE:- CONTRACTOR:
Name Greg and Christine Taylor Name:Jay R Cash
Add ress:4001_N Ocean BLVD Apt 1102. Company:Fences By Cash LLC
City: Boca Raton State:_ Address: 1772 SE Durango St
Zip Code: 33431-5393 Fax: City: Port St Lucie State:FL
Phone No. Zip Code:-34952 Fax:
E-Mail: ` I' Phone No(772)777-2808
Fill in fee simple Title Holder on next page(.if different E-Mail fencesbycash@comcast.net
from the Owner listed above) State or County License 30620
If value of construction is$2560 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.
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SUPPLEMEN�'AL C0lVSTFUCTf�N Lli�:IAW 1(VfiCIRMAT!( N
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not'Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone:, 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-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 Ok AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."'
Signature r Lessee/Contract(5r as Agent for Owner Signatureontract r License Holder
STA OF FLORIDA STATE OF FLORIDA
COUNTY OF n& COUNTY OF
The for2oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20.Z)by this day of .20 by
Name of per an making statement. Name of person king statement.
Personally Known OR Produced Identification Personally Known OR Produced identification Lr
Type of Identific o Type of Identification
Produced k ProducedLIZ�/,
ignature of Notary Public-SW of Florida} ,,dHo {Signature of Notary Public-Stateo ri }
4y^ Mo.
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Commission No. (Seal) 09 0R, Commission No. (Seal) _
REVIEWS FRONT ZONING S oc PIANS VEGETATION SEA TURTLE
COUNTER REVIEW = REVIEW REVIEW REVIEW �1
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