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HomeMy WebLinkAboutBuilding Permit Application �C&O�.LydL(A AN.APPLI.ClB1lUN.F0.M.UST BF-WMPLEFED FORAPPUCAT1414TO BEACCEUTM, 11 Date: 12/3/2020 Permit Number:�, U o r p Building,Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(172)462-1553 Fax:(772)462-1578 PERMIT APPLICATION FOR: PR�POSEDIMPROVEMENT LOCATION � 3 _ � � ,,, _ '' Address: 107 Beach Ave Port Saint Lucie Florida 34952 Property Tax ID#: 3419-515-0038-000/1 Lot No.11 Site Plan Name: River Park Block No. 5 Project Name: Fence Upgrade �DETAILEDr;DESCRIPTION OF WORK ' -� `A �� 4 r �' x Remove old and damaged chainlink fence. Replace with new 6 foot high vinyl privacy fence 160 feet of fenceline. No gate,enclosed on south side.Open ess through carport. New Electrical Meter Second Electrical Meter sCON$TRU(T ION I NFOftMATI'ON 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: 160 Sq. Ft.of First Floor: Cost of Construction:$2400 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE CONTRACTQR Name John Stavrinakis Name: Address:107 Beach Ave Company: City: Port Saint Lucie Stater Address: Zip Code: 34952 Fax: City: State: Phone No 305 Zip Code: Fax: E- ail: vY@aal.com Phone No F - p e Title Holder on next page(if different E-Mail from the Owner listed above) State or County License 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. 5 tag g Y t fi` f j: k SUPPLEMENTAL:CONSTRUCTION LIEN LAW INFORMATIONS y DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name:USbank Address: Address: 4so+Frederica st City: State: City: Owensboro State: K' Zip: Phone Zip: 4230+ Phone: -as FEE SIMPLE TITLE HOLDER: _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 pr 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. Inconsideration 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 improveme7'an toy ur property.A Notice of Commencement must be recorded in the public records of St. Lucie Coun nd p sted on the jobsite before the first inspection.If you intend to obtain financing,consult K ith lend torne before commencingwork or recordingour Notice of Commencement. & Ar Signature O ner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S`t—L—� C 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 this 1k day of N> C- 2020 by this_day of 2020 by any\V1 5Ar0,�/VAI-NA s 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 rL Produced (Signature of Notary �„ �e o F or�aJEN VAU G H N ignature of Notary Public-State of Florida) PY PV State of Florida-Notary Public Commission No. = �� Cort(g�g*ion #GG 27007 mmission No. (Seal) Ate` My commission Expires � 0iii�`��\ 0dtobbr 22, 2022_._.. REVIEWS FRONT j ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER' REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.516/20