HomeMy WebLinkAboutFence Permit App 2003-3017All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/22/2020 Permit Number:
NMT7:_"_��
F L O R I
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Fence
PROPOSED IMPROVEMENT LOCATION:
Building Permit Application
Address: 7201 S. US. Highway 1 Port St Lucie FL
Property Tax ID #: 41621
Site Plan Name:
Project Name: Citgo Pt St Lucie
I DETAILED DESCRIPTION OF WORK:
Commercial X Residential
Build Stokade Fence around temporary Ground Water Remediation System 12'X24'
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit — check all that apply:
_Mechanical — Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: Fence 12'X24"
Cost of Construction: $ 1000.00
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name George Emmons LLC
Name: James D Martin
Address:7201 S US Highway 1
Company:HLM Environmental Inc
City: Port St Lucie FL State: _
Zip Code: 34952 Fax:
Phone No.772-370-1355
Address:721 North Drive Ste A
City: Melbourne State: FL
Zip Cade: 32934 Fax: 3212422227
Phone No3214733671
E-Mail: www.celebrityautosales.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Maillmartin@hlmenv.com
State or County LicenseCGC 15100910
it value or construction is 52500 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: Not Applicable
Name: Steven L Brashers
MORTGAGE COMPANY: _ Not Applicable
Name: zi
Address: /
Address: 1612 NW 2nd Ave, Ste 11
City: Boca Ra{gn State: FL
Zip: 33432 Phone561-0.45-1838
City: 4, ff State:
Zip: Phone: �
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application its hereby made to obtain a permit to do the work and installation as indicated.
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 YOUR NOTICE OF CON MENCENENT."
m�
Signature o Owner/ Lesse ontractor as Agent for Owner
STATE OF FLORIDA ii
COUNTY OF �F_'`(`' ,f-!\
The forgq�ng instrument was acknowledged before me
this day of ;�� � 20?+ by
of Contractor/License Molder
AT I OF FLORIDA ;
TY OF"Y'
The forging instrument was acknowledged before me
thisF.�;clay of =;'� 20 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
ature of Notary Public- Sta
Commission No.
Nf OLE M. WE E1�10't"
.j. J�jjr4g_ blic - Sta ��
Commission # Gof Notary Public- State
My Comm. Expires
Bonded tttroughNation n No,G-1-16SILO
NICOLE M.
Florida I
Noy Comm. Expires p l4, 2021
Bonded through Natio al Lary Assn.
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Rev. 2/i/19