HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED C:) _V
Date: Permit Numbe
Building Permit
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
JUN 10 2020
ermiti:iry y�I;ertrnent
St. Lucie County, FL
Commercial Residential Y
PERMIT APPLICATION FOR:GATE BOLLARDS
PROPOSED IMPROVEMENT LOCATION:
Address: 5195 TREETOP TRAIL, FT_ PIERCE, FL
Property Tax ID #: I `II O o� ocof o Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALL 2 CONCRETE BOLLARDS WITH ALUMINUM GATES PER PLANS PROVIDED;
NOT INCLUDED IN THIS PERMIT: ELECTRICAL WORK
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: Sq. Ft. of First Floor:
Cost of Construction: $ 4000.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameALAN & BECKY GREGORY
Name:PAUL KUHN
Address:5195 TREETOP TRAIL
Company: HERITAGE CONTRACTING SERVICES, INC.
City: FORT PIERCE, FL State: _
Zip Code: Fax:
Phone No.
Address:4900 CONLEY PL
City: FORT PIERCE State: FL
Zip Code: 34951 Fax: NIA
Phone N07722166612
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above) .."
E-MailPAUL.K.HCS@GMAIL.COM
State or County LicenseCGC1507158
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 CONSTRU CTI ON LIEN LAW INFORMATION:
Name:_&ncktoilt �Minern'nq of THE In
Address: -zoA agewarc- AFL ✓ c
City: R. f?ac-e Stater
Zip: �,tI9so Phone 1399
FEE SIMPLE TITLE HOLDER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address: I 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 Count
yy 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording your Niotice of Commencement.
CC.
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Signature of Owner/Lessee/Contractor as Agent for Owner
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Signature of Contractor/License Holder
STATE OF FLORIDA
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STATE OF FLORIDA
COUNTYOF -31- CAS
COUNTY OF 01�p
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SwciVn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Phyysical Presence or Online Notarization
_VZ Physical Presence or Online Notarization
this,/Qfday of Tu. vN , 2020 by
this day of TA , 0 2020 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification l/
Personally Known OR Produced Identification
Type of Identification
Produced ICL CDL- tJ I<Sr�D-GR1-%�_of
Type of Identification
ProducedR C'DL ¢f {Qr%-6,i'l,%�-Of2.D
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(Signature of Pub cy Villarov. H[JSSAIN
(Signature of ry Publi
MYCOMMISS1ON#G0961059
Commission No. EXP11d1 PAblrif09,2024
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Commission No. MYCO g�I0GC961059
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