HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/13/2021 Permit Number:
S�]f�ILU C E8 dh` RECEIVED
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APR 13 2021
Building Permit Application
Planning and Development Services f'er 8t, l.uc. Luctirg DCp�rtfi�en
fe Caui7ty
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:FENCE
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Address: 627 SE Hidden River Drive
Property Tax ID#: 3 L/P 7O) -MO- —7 Lot No.
Site Plan Name: Block No.
Project Name:
s M.�t';,,-h...�'l`�?t�:���„ ., -. � �:��
4'Tall Bronze Aluminum Fence 2.5" Rejection 3/4" Pickets Handrail
One 60"Wide Matching Aluminum Gate
New Electrical Meter Second Electrical Meter
ONSTRUCTf'ONI( F®RMATION ��
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: Sq. Ft. of First Floor:
Cost of Construction:$ 2046.00 Utilities: —Sewer —Septic Building Height:
fJ` R LESSSEE� CONTRA ®
Name Lare Ziemba Name:Joseph McFarlane
Address:627 SE Hidden River Drive Company:Tradition Fence Company, LLC
City: Port St. Lucie State:Jjr Address:11319 SW Lake Park Drive
Zip Code: 34983 Fax: City: Port St. Lucie State:FI
Phone No.772-359-6568 Zip Code: 34987 Fax:
E-Mail:drziemba@comcast.net Phone N0772-332-2443
Fill in fee simple Title Holder on next page(if different E-Mail traditionfencellc@gmail.com
from the Owner listed above) State or County License PSL#31073
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.
.SIJPP�E�ME{�`IA�..C®�15T EdTI®tU�I:�E�f� , • • .
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
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 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;;Zey
on the jobsite before the first inspection. If you intend t tain financing, consult
with lender or an before commencingwork or recordingour Noti of C mencement.
Signatur Owner/Lessee/Contractor as Agent for Owner Sig=, OF
ntractor/License Holder
ST E OF FL IDA STORIDA
C UNTYOF . Lucie COUNTY OF A-,Lpc" k
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 l'_tL day of a e C'%N 202d by this %S day of d e(`L\ ,20A by
a1,Q j4N li-q&, C\AV\*, 7Sage.\0M If'C -\;A
Name of per n making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced �-L- -0 l_
e
(Signature of Notary blic-State of FI Fw5 (Signature of Notar Public- to rm� ..lorida) GIVENS
DEANNAof"orida =a rI Notary Public State of Florida
�� o.n�� IlState q <: m lion#HH 086359
Commission No. �1 Notarl W,.,5. HA 08635 A N 6 �;
I] Commission No. o;: µyExpires Jan 28,2025
?: <i Commiss�oH�es tan 28.2025 �.•
My Comm•Exp'onal Notar,+As'" Bonded through National Notary Assn
Bonded t
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