HomeMy WebLinkAboutSLC Permit Application - Mimi SwaringenAll APPLICABLE INFO MUST BE
Date: September 30, 2020
Planning and Development Services
Building and Code Regulation Divisic
2300 Virginia A venue, Fort Pierce FL
Phone: (772) 462-1553 Fax: (772
PERMIT APPLICATION FOR
PROPOSED IMPROVEMEN
Address: 20 Netherby Avenue, Jer
Property Tax I D #: 4509-801-0004-
Site
509-801-0004Site Plan Name: Swaringen Fence
Project Name: Install Wood Fence
PLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Commercial
2-1,578
fence
LOCATION:
m Beach, FL 34957
0-7
DETAILED DESCRIPTION OF WORK:
Install 204' L.F. 6' tall board on boar wood fence.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed
_Mechanical _ Gas Tank
Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4,590.00
OWNER/LESSEE.-
Name Mimi
WNER/LESSEE:NameMimi Swaringen
Address:20 Netherby Avenue
City: Jensen Beach
Zip Code: 34957 Fax
Phone No. 772-834-1180
E -Mail: mimi425@bellsouth.net
Fill in fee simple Title Holder on
from the Owner listed above)
r this permit– check all that apply:
—GasPiping `Shutters
Residential X
Lot No. 1
Block No.
_,.,_ Windows/Doors Pond
_ Sprinklers — Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic
Building Height:
CONTRACTOR:
Name.Darrick Bailey
Company:A Great Fence
State: _ Address: 751 NW Enterprise Drive
City: port ST Lucie FL
State:_
Zip Code: 34585 Fax: 772-408-0272
Phone No 772-812-0223
page { if different E-Mailinfo@agreatfence.com
State or County License CGC1 527571
If value of construction is 2500 or more, RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a REC RDED Notice of Commencement is required.
SUPPLEMENTAL CONSTR
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVI
I certify that no work or installation ha!
St. Lucie County makes no representati
which
ructure. Please t nsult with yourHlon
In consideration of the granting of this i
in accordance with the approved plans,
The following building permit applicatic
accessory structures, swimming pools, I
WARNING TO OWNER: Your failu
improvements to your prope
Lucie County and posted on tl
with lender or an attorney be
Signature of13wner Lessee Contra
STATE OF FLORIDA
COUNTY OF STLucle
ON LIEN LAW INFORMATION:
Not Applicable
State.
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
Stater
Not Applicable
Application is hereby made to obtain a permit to do the work and installation as indicated.
:ommenced prior to the issuance of a permit.
I that is granting a permit will authorize the permit holder to build the subject structure
)me Owners Association rules, bylaws or and covenants that may restrict or prohibit such
Owners Association and review your deed for any restrictions which may apply.
quested permit, I do hereby agree that I will, in all respects, perform the work
he Florida Building Codes and St. Lucie County Amendments.
s are exempt from undergoing a full concurrency review: room additions,
aces, walls, signs, screen rooms and accessory uses to another non-residential use
to Record a Notice of Commencement may result in paying twice for
A Notice of Commencement must be recorded in the public records of St.
jobsite before the first inspectio . If you intend to obtain financing, consult
,e commencinR work or recordj; r Notice of Commencement.
as Agent for Owner
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or OnlineNotarization
this 30 day of September 020 by
Darrick Bailey
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signa a of Not Public- State of FI rid
CRYSTAL Y BISH
Commission N G12�s,a
----- : &?&MMISSION # GGi
=9�
EXPIRES Juiy 24, 20
REVIEWS I FRONT I ZON11
COUNTER REVIE
DATE
RECEIVED
DATE
COMPLETED
of Cop Tact&/Li, ense Holder
STATE OF FLORIDA
COUNTY OF St Lucie
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 30 day of Septerber 2020 by
Darrick Bailey
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
—denature of Notary
P F
mission No. G01
SUPERVISORPLANS � VEGETATION
REVIEW REVIEW REVIEW
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Mr coMpN # GG127si&
EXP€m* 24, 2021
SEA TURTLE 1 MANGROVE
REVIEW REVIEW
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