HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED
Date: Z Zr Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division CommerClra I Residential x
2300 Virginia Avenue, Fort Pierre FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR. Pool Fence-- Code Case # 105229
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1 PR€1:::iPOSFD IMP�C)V'L--M. �,�- LL-)CATIONl
Address: 434'' r.Lw Duren road -
Property Tax I D#: 3403 502 0138 010 6 Lot No.BB
Site Plan Name: _ Block No-
Project Name:
-',istall 88 Linear Feet of 4 feel iig#, Child Barrier Pool Safety Mesh Pence with self Latching Gate
New Electrical Meter Second Electrical Meter--__
CONSTRUCTION INFORMATION'.
Additional work to be performed under this permit-check ail 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: $ 1,000 00 Util;t c-S: Sewer —Septic Building Height;
_ ..
Brenda A Gruwe Name: f
Name ��
Address:4841 nw Dunn road Company:
City: Fort Pierce State:— Address:
Zip Code: 34981 Fax: City: 6/ iGi State:
Phone No.772 201 3629 Zip Code: IT ° of Fax:
i E-Mail:chrisgru� (;CJ@gmai com Phone No 2 �
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License a�7G
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,5€0 or more,a RECORDED Notice of commencement is required.
LIEN LAW NFORMATION:
DESIGNER/ENGINEER: Not Applicable M:ORTGAG E C"_0 1PA1N__ : _-- J Not Applicable
i Name: Name: '
i Address: Address:
j City: State: City: State:
Zip: Phone Zip: Phone: - -
F E SIM- PLE 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 b0d 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 hermit, 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 recording our Notice.o€Commencement.
I Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
i
j STATE OF FLORIDA (� � STATE OF FLORIDA
I COUNTY OF -�� ���'`G` I COUNTY OF IT --
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Ph gay
Pres ce or Online Notarization eX Physical Presenc or Online Notarization
thi- s -gay of 2020 by this.2-0- day of ls+r 2020 by
Name of person making statement. � + Name o person making statement.
Personally Known 19 OR Produced identification i Personally Known OR Produced Identification
Type of identification Type of identification
Produced Produced
a to re a Nata Pu i t f blic State or Florid# i t� rnary aublic State of FkuiGa
f rY Sf re of Nc : G.
V Haines t g ;�" Veronica Haines
My Comfssion GG 045700 My Commission"GG 5789
Commission No. or Expirgrs""024 Commission No. o, , Ex Wes
REVIEWS FRONT ZONING i SUPERVISOR i PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
�.DATE jf--- - - --..
RECEIVED _
DATE
COMPLETED
eV. 5 0 2O