HomeMy WebLinkAboutbreakersAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/30/2020 _ Permit Number:
`' `'°tk' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial x Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Gate On Boardwalk
PROPOSED IMPROVEMENT LOCATION:
Address: 4949 North Highway A.1.A
Property Tax ID #: 1414-230-0001-000-8
Site Plan Name: Breakers Landing Boardwalk
Project Name: Breakers Landing Boardwalk
DETAILED DESCRIPTION OF WORK:
Install a 4' wide qate to the beach access boardwalk
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit– check all that apply:
_,Mechanical _ Gas Tank _ Gas Piping e Shutters r Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer —Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR;
Name Breakers Landing Condo Associate
Address:835 20th PI
Name: Sheldon Brister
Company: Brister Fencing, LLC
City: Vero Beach State: _
Zip Code: 32960 Fax:
Phone No. 772-489-5359
Address: 3684 River Woods Dr.
City: Ft. Pierce State: FI
Zip Code: 34946 Fax:
Phone N0772-321-7526
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail Bristerfence@gmaii.com
State or County License 28573
ff 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 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
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 Innrlor nr nn nttnrnPv hpfnrp rnmmPririnu work or rPrnrdin—a your Notice of Commencement.
Kev. 5/6720
-Signature of Owner/ Lessee/ ntractor as Agent or ner
Si ire of CgptraUto License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF6y
COUNTY OF t ,I
Sworn to (or affirmed) and subscribed before me of
Physical Pres nce or Online Notarization
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this • qday of 2020 by
6is 1 i`day of �Tn��}•-- 2020 by
�Yi,�
�� ��� u� Carr �.s {-�.-�
,�iti.tr•,
Name of person making
Name of person making statement.
,statement.
Personally Known OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Lam.
A
(Signature of Notary Public- State of Florida)
(Si nature of Notary Public- State of FI i gRYPJ
/ ��y d eP°Os••
Commission No. 614-
f s� t �L l �no3+31P
4 RW �°�
DiANAt
/ G pec''., r Public State of Flog
GG 944061
&o mission
° '?P 4�mmiss�on 22,
'. =sxpires Feb
usstl tie3oN leuoi�eN :
•wwo�
COMM.m
National Notary
a j saildx3
,yob =r
.`•;�
::; h
i900tiG ale 5 . xtQnd tie�o a A,6d?;:`
o
REVIEWS
FRONT
R�Iltii�iNy�� SUP0RV S
VEGETATION
SE E
MANGROVE
COUNTER
VIE REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 5/6720