HomeMy WebLinkAboutPermit Application (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/30/20
Permit Number: _______ _
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: Privacy Wall
PROPOSED IMPROVEMENT LOCATION :
Address : 7310 lndrio Rd., Fort Pierce, FL 34951
Property Tax ID#: 1314-144-0000-000-0
Lot No .. ___ _
Site Plan Name: ________________________ _ Block No. __ _
Project Name:_;_7~-1'-'-1_:#~38~9:::4::_4 ____________________________ _
&>ETAllED E>ES€RIPTION Of' woR·K,;'.
Installation of pre cast privacy wall.
New Electrical Meter_N_o ___ Second Electrical Meter _____ _
I CON SJRUCTIPN 'iN .fORMAJI ON:
Additional work to be performed under this permit-check all that apply :
_Mechanical
Electric
Gas Tank
_Plumbing
_Gas Piping
_ Sprinklers
Total Sq. Ft of Construction: ______ _
Cost of Construction : S .:.4.:.8:.:.,44.:.5:.:..o:..:o'------
Name lndrio Retail Properties, LLC
Address: 2129 Via Fuentes
City: Vero Beach, FL State :
Zip Code: .::.3=.29:..:6.:.3 ___ Fax :. _______ _
Phone No ., _____________ _
E-Mail : ______________ _
Shutters _ Windows/Doors Pond
____ Pitch Generator Roof
Sq . Ft. of First Floor: _________ _
Name : Robert Kennedy
Company: Wilsons Petroleum Equipment, Inc.
Address: 1803 South 31st St.
City: Fort Pierce State:~
Zip Code: _3_49_4_7 ____ Fax: 772-464-5803
Phone No 772-468-3689
Fill in fee simple Title Holder on next page ( if different E-Mailrobk@wilsons-petroleum.com
from the Owner listed above) State or County License_2_47_6_1 ________ _
If value of construction Is 2500 or more, a RECORDED Notice of Commencement Is requi red.
If value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement Is required .
-• ~ • -I -SUP
DESI : _ o PP 1ca e MORTGAGE COMPANY: _ Not Applicable Name: JBM & R eng"-tng 1ne.
Address :..;.PO.:..:.:t>ox::.'..:.566~------------City: ..:.v=a111co=-_________ State: _FL __
Zip: 335ss Phone_&1_3'_1•_,_.2_109 ______ _
FEE SIMPLE TITLE HOLDER : _ Not Applicable Name: _______________ _
Address:. _____________ _
City:. ____________ _
Zip: ____ Phone:, ________ _
Name: ________________ _
Address:------------=----City: ____ ..,....... _____ __;State: Zip: ____ Phone:. _________ _
BONDING COMPANY: _ Not Applicable Name:, _________________ _
Address: _______________ _
City: ______________ _
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 Countv 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 wh ich 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 attorne before commencin work or rdin our Notice of Commencement.
STATE OF FLORIDA
COUNTY OF __ --=.Lc::..:t. ________ _
Swprn to (or affirmed) and subscribed before me of
ti Physical Presence or Online Notarization
this ..J:.... day of D «c,.,~ 2020 by
/Vlqtf/.c.v.1 P.osJ
STATE OF FLORIDA
COUNTY OF 5T, L,(,/G-cG:--
SV(O}'ll to (or affirmed) and subscribed before me of
~sical Presence or Online Notarization
this'E day of 06<:&tfiBliR., , 2020 by
F--~ t'3ftff 'I, nw if?I
Name of person making statement. Name of person makingJtatement.
Personally Known __f__ OR Produced 1~11~~ Personally Known _V __ OR Produced Identification
Type of Identification ~~'rl 1--1 1"fto~ Type of ldentificati911 . 1
Produced I&' ••-~it;:, 7 1, \ Produced $'JV/)/, N owrv $-s::..ii9.20~\ s )\_J
I fit' J :::: • ~<o ,;, • *,::
_ ........ -"v;._ ~,;;;..~l..,;,;.;._ ____ ;.., .. 11-' ..., • __ __;::.c..;::.....;"""_-l'f--------------
(Sig \itureof Notary Public-State ofsili~a~) #GG91 736S J: "' S (Signature of tary ubli~ S 'lU'WIXl(.IWVv,.Ni,.,..~YY-M, II i~ .._ f//j rri 33~
Commission No._____ ~1:it,;,, j"!"i'!'!~ Commission No.ms ~"')!'°ti. ' ~rs, s C SSION#GG335907
REVIEWS
DATE
RECEIVED
DATE
COMPLETED ev.
~11111,,'BLIC, fi'..~11111'''~ EXPIRES : May 16, 202 3
FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER "REVIEW REVIEW REVIEW -REVIEW REVIEW ~-~R tVi°EW