HomeMy WebLinkAboutBlocking Diagrams All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED G
Date: 08/05/2020 Permit Number: ZOO C� 0 I 1 -7
t O i
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: Privacy fence and gates
PROPOSED IMPROVEMENT LOCATL;ON
Address: 260 Banyan Dr., Port St. Lucie, FL 34952
Property Tax ID#: 3419-520-0018-000-1 Lot No.17
Site Plan Name: Block No. 135
Project Name. RIVER PARK-UNIT 3-TRACT E BLK 135 LOT 17(MAP 34/22S)(OR 2155-884)
DETAILED DESCRIPTIONO�WORK:
i s A-Li, do L or- W000 6N woo Na Ni614 RWNC� 260-r
DO E I N STi4 I ! -WooD E kou A LJ5 Z)c5'Wt06 I` 2 r b- rA c9F/0 '�
W-
IWTALLi I W600 6A-TE 5'I+16a AP"-- Z6"WiQ6 A6T1UGGAJ AoitsE A41 0
New Electrical Meter N/A Second Electrical Meter N/A
CONSTRUCT N IO INFORMATION
t..�___.. _ __._... _._. N __-_-__ _ _
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: $ 0 6 Utilities: —Sewer —Septic Building Height:
OWNER%LESSEE ' � i $CONTRACTOR; - K 4
Name Anne M. Delcastillo Name: Owner/Builder
Address: 260 Banyan Dr. Company:
City: Port St. Lucie State:_ Address:
Zip Code: 34952 Fax: City: State:
Phone No. .772-359-9764 Zip Code: Fax:
E-Mail: Tidalmood63@gmail.com Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
If value of construction is 25W 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 I IEN AW IN
DESIGNER/ENGINEER: x—Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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-Us'e
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
w' h lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agen Signature of Contractor/License Holder
STATE OF FLORID a STATE OF COUNTY FLORIDA
COUNTY OF
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
thiis1� day of ,2020 by this day of ,2020 by
c
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 ,M I L (T/4—W� f l� Produced
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Commission No. AHNAIN PAHMING Commission No. (Seal)
sg ,
My COMMISSION#GG 275060
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ThruNotaryPuhli Undenniters
REVIEWS OR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20