HomeMy WebLinkAboutPermit PacketAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: LLl Permit Number:
CC
O
lI -° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commert;ia I
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:RESIDENTIAL FENCE
PROPOSED IMPROVEMENT LOCATION:
Address: 15 NETHERBY AVE JENSEN BEACH, FL 34957
Property Tax ID #: 4509-801-0007-000/2
Site Plan Name: NUGENT
Project Name:
DETAILED DESCRIPTION OF WORK;
Residential XX
Lot No.
Block No.
INSTALL 171 FT X 4FT HIGH 9GAUGE 2" BLACK MESH CHAIN LINK FENCE WITH ONE 6FT WIDE ENTRY GATE
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction. $ 3,350.00
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: -
NameSCOTT J NUGENT
Address:15 NETHERBY AVE
Name:JAY R CASH
Company: FENCES BY CASH LLC
Address:1772 SE DURANGO
City: JENSEN BEACH State: _
Zip Code: 34957 Fax:
Phone No. (772) 349-2265
City: PT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No(772) 777-2808
E-Mail:elizabeth@jbinn.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailFENCESBYCASH@COMCAST.NET
State or County License 30620
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.
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:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Address:
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 lender or an attornev before commencing work or recording your Notice of Commencement.
Signature Ow r/ essee/Contractor as Agent for Owner
Signature on ctcr/License older
STATE OF FLORIDA .
S"rt"'e-
STATE OF FLORR11' A �
OF----1�—
COUNTY OF
COUNTY
Swor'pvto (or affirmed) and subscribed before me of
Swor o (or affirmed) and subscribed before me of
Physical Pres;�.�c�e, ,or Online Notarization
this � day of r`�a , 202d by
sical Pres ce or Online Notarization
this day of 202& by
" x � Cif
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Name of person making statement.
Name of person making statement.
f
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of I ifc tion_-A*
Type of Iden 'ficat'o
Pr ced C.Y l� s
Pr uced.1
p� Y Lori A. De�Sa!vo
Lori A. De.Sahao
�W �r NOTAR
NOTARY
ignature of Notary Public- State 41 STATE OF FLORI
ATE OF FLORID^
(Signature of Notary Public- StateW(�Seamolres
�" Canm!# GG130649
Commission No. s�N Real) Expires 10/20/20
(f Cotnm# CG1 d9
=,Commission No.GG 6(D 9f)/2�2�J21
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.