HomeMy WebLinkAboutLounsbury app - signedAll APPLICABLE II F MUST BE COMPLETED FOR APPLICATION TO 13E UEPTED
Vat - J NUAft Y 25P 2021
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Permit Nuinber. ---
Building Permit Application
Plop n i n g and De velop men T Seic es
fludi g and Code ficqulatiDn Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone. (772) 4 i15 3 Fax. (77 ) 4 -1 78
Commerclal Residential x
PERMIT APPLICATION FoR:RICHARD LOUNSBURY
PROPOSED IMPROVEMENT LOCATION:
Address, 12$85 S 1N01AN RIVER DRIVE, JENSEfV BCH, FL 34957
Property Tax ID q:
4504-318.0003-00012 Lot Na
Block No 2
Site Plan Name;
Project Name LOUNSBURY FENCE
DETAILED DESCRIPTION OF WORK:
APPROXIMATELY 1201 PRIVACY WOOD FENCE, AND 6'by APPROXIMATELY 1'
INSTALLATION
F 8'by
1D FENCE,
AND
1 4.
W IDE LSD GATE
New Electrical Meter N/A Second ElertricaI M eterN/A
NISTRUCTION INFORMATION:
Additional work to be performed under this Permit -check all that apply.
Electric
Gas Tarok
piumbin
TOtdl Sq. Ft of Construction.
Cost of Construction. 7186
OWNER/LESSEE:
Gas piping
Sprinklers
Shutters
Generator
Windows/Doors Pond
Pool Pit01
Sq. Ft_ of Flit Ftoor-
Utilitlev. Sewer . Septic building Height
CI . JENSEN SCH State.
Zip Cody' 4 Fax'
Phone No. 77 .4 8 23
E-Mail: L0UNSRCWA0LC0M
Fill In fee siren pie Tit le Holder on next page ( If dlffere nt
from the owner listed above)
CONTRACTOR;
Iapi.- -
ni pa ray
Address:
city: St aft
Zip Code
Phone No
I' M a I I
State o(Cotinry License
I_. _ __ _ - -- -- - - -
if value of construcilon is 2500 or morn, a RECORDED Notice of Commencement is required.
I( vaIue of HA C 1i 7#SW or more, a RE CoRDE0 Notice of Commencemen t 1i required.
I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
Address -
City: _ State:
Zip: _ Phone
FEE SIMPLE TITLE HOLDER: x Not Applicable
N a L
Address,
City:
Zip: Phone:
MORTGAGE COMPANY:
-- Not Applicable
Name; -- - -
Address.
City: State:
Zip: Phone: - -
11 P� NY: �
� Not Applicable
BONDING �
Name:
Address:
i�
Zip. Phone:
OWN ERf CONTRACTO R AFF IDVIT: ApplIca tion is hereby made to obtarn a permit to do the work and Installation as iRdi[ated.
i certify that no work or installation has commenced prim to the issuance of a permit.
t Lucie County makes no representation that is granting a permit w' II authorize the er i t holder to build the subject structure
w hiLh is in conflict with any applicable Home Owners Association rules, b Nam or are covenants that may restrict or proh4bd such
structure, Please c:onsuIt with your Home Owners Association a nd review your deed for a ny restrictions w hich fnay apply
In consideration of the granting of this requested permit., I do hereby agree that I will, in all respects,, perfo(m the work
in accordance wth the a ppro ed plans, the Florida Building Codes and A Lucie County Amendments
The follo ing building permit applications are exempt from undergoine a full concurrency review- rooter additions.,
accessory structures, swimming pool-s, fences, walls, signs, screen rooms and accesso uses to another non-r ideertial use
WARN I N T %N E w Your failure to Record a Nntirp nF rnrnmPnrPmPnPmnv rps"It In paving twice for
improvements to your property. A Notice of Commencement must be retarded in the public records of St.
Lucie County and passed on the jobsite before the first Inspection. aF you intend to obtain financing, consult
with leader or an attvrnev before commencing work or recording vour Notice of Commencement.
ir~ r f r s nt factor nt for Owner
I ignatr�re- of ont ctor/Eke s Holder
STATE OF FLORIDA
COUNTY OF
Drn to (or affirmed) and subbed b fom one of
Physical Presence or Online Not-anzatian
this day o -Wa00 by
None of person m;ikins statement
Personally Known
Type of Identification
Produced
R Produced Identification
lure 01 Notary Public State of f 1oo sda }
fission No
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW