HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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o
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential xxx
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Residential Felice
PROPOSED IMPROVEMENT LOCATION:
Address: 4868 Watersong Way Ft Pierce, FL 34949
Property Tax ID #: 2532-500-0062-000/7 Lot No. 48
Site Plan Name: Watersong PUD Block No.
Project Name: Levesque
DETAILED DESCRIPTION OF WORK:
Install 1 00f x Oft high White Straight top Picket, 3" spacing, 7/8" x 3" pickets with 4" posts and two 6ft wide entry gates
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
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 3,375.00
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameSandra J Levesque
Name:Jay R Cash
Address: 14805 Algardi ST
Company: Fences By Cash LLC
City: Montverde, FL State: _
Zip Code: 34756-3155 Fax:
Phone No. (772) 260-7514
Address: 1772 SE Durango St
City: Pt St Lucie State: FL
Zip Code: 34952 Fax:
Phone No (772) 777-2808
E-Mail:marbucci@comcast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail fencesbycash@comcast.net
State or County License 30620
If value of construction is 2500 or more, a RECORDED Notice of Commencement is requirea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: 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 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 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 attornev before commencing work or recording your Notice of Commencement.
Signature er/ Lessee/Contractor as Agent for Owner
Signatuntractor/License Holder
STATE OF FLORIEft
STATE OF Fl.�RIDA
COUNTY OF (�
COUNTY OF Tt2bq
S VOto (or affirmed) and subscribed before me of
Swgrn/ro (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
1/Physical Presence or Online Notarization
this day of 12020 by
this day of 2020 by
Name of so altiatement.
Name of per s a ent.
Per ovally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Pr uced'
Type of Identification
Produce
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(Signatu a of Notary blic State of F -.STATE OFF
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20
Jayne
FLORIDA