HomeMy WebLinkAboutbrendaJones_BuildingPermitApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -4-01 Permit Number.
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j � Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia A ven tie, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Fence Installation
PROPOSED IMPROVEMENT LOCATION:
Address: 181 SE EL S ITO CT Port Saint Lucie, FI 34983
Property Tax ID4, 10= 0=0 05-000_ Lot No.14 _
Site Plan Name: _ __ _ _ _ Block Na. 6
Project Name. Palm Jr Fence LL - Fence -Install -------------
DETAILED DESCRIPTION OF WORK:
148 total footage, 12 ft galy ohainIink, 63 ft woad_ 5ft vide chainIink waJ k gate, Chainl ink- 5ft TaJ I, Wood- Eft Tall
46 ft wood, 12 ft wood with 12 ft wide doublue drive gate
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional workto be performed under this permit —check all that apply:
_Mechanical __ Gas Tank __ Gas Piping _Shutters �Wiindo ,<.`-'r)r)
Electric _Plumbing __Sprinklers
Total Sq_ Ft of Construction. _
Cost of Construction. 4000
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: — Sewer __ Septic Building Height.
OWN E R/L ESS E E.-
Na me Brenda Janes
Address: 181 SE EL SITO CT ---
City. Part Saint Lucie State. R
Zip Code: 34983 Fax:
Phone Na. 77-40=1 97
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
A163►1111110 11111C 0.4
Name Than Avellaneda
Company. Palm Jr Fence LLD
1lddress:913 Middle Rd
City: Fort Pierce State: FL
Zip Cade: 4981 Fax.
Phone Na 772-828-8820
E-Mail palmjrfence gmaill. com
State or Caunty License1765
ifvaIueofconstruction is 25Mar more, a RECORDED Notice of Commencement is required.
If va I ue of HAVC h $7,5Warmore, a RECORDED Not ice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY:
Name: --_
Address:_____ _
City: —_ — State:
Zip: ---- Phone—
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
------ -- --
Address:
City:— — i-- -- -- —
Zip: -- Phone:
Name:
Address:
City: -- _
-- Not Applicable
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 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 attorney before commencing work or recQrdjng your tice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA Seminole
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
_ Physical Presence or _�_ Online Notarization
this 51L day of yMrrhh 1i. by
STATE OF FLO R A
COUNTY OF_ .51
SzKn to (or affirmed) and subscribed before me of
Vim/ Phhrsical Presence or _ Online Notarization
this `'1 day of 0 by
a--�)kEC-
Brenda Jones \bn iyyellcw\ect,,
Name of person making statement. Name of person making statement.
Personally Known _ OR Produced Identification Personally Known OR Produced Identification V_
Type of Identification Type of Identification
Produced EL Drivers license Produced-l_wivcxs LC'�
Karma P Randall
(Signature of Notary Public- State of Florida 1 (Signatur f Notary Public- tom' FIoN�ry F"t"` State or Fior de
t L c- th �.nhe is
Commission No. HH 62995 r u , ssior 937066
' Commission No.
9�J E X�l;cw 2ol;
Commission Expires 11/12/2024' ,�,• ,,�a,.�v�r�Yv^v�.
Notarized online using audio -video communication
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW I REVIEW I REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20