HomeMy WebLinkAboutBuilding Permit Application 9
I
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/21/2021 Permit Number: "I D5�' 0 LY
W501
- - Building Permit Application MA OryPartment
Planning and Development Services per 5t Luoe County
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:
PROPOSED IMPROVEMENT LOCATION:
Address: 5955 Whipoorwill Lane
Property Tax ID#: Hidden Acres(1058-728; 3566-2802) Lot No.2
Site Plan Name: Wills Residence Block No. B
Project Name: Wills Residence
DETAILED DESCRIPTION OF WORK:
Pool Barrier Fence surrounding new Pool Construction. The fence will be 6 foot vinyl fence surrounding the paver area around pool.
The fence will have two single gates one on the north side and one on the south side. Both gates will have child safety locks.
Northside fence 40ft, East side 60ft, Southside 25ft.
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 _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 2,132.88 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJames Thomas Wills Name:
Address:5955 Whipoorwill Lane Company:
City: Port St. Lucie State:_ Address:
Zip Code: 34987 Fax: City: State:
Phone No.772-607-1202 Zip Code: Fax:
E-Mail:usmcfishfool@gmail.com Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 posted on the jobsite before the first inspection. If you intend to obtain financing, consult
it-ti lender or n attorney before commencing work or recording our Notice of Commencement.
kilarnatu=re of Owner/Lessee/ ontr r as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S LAA_C Q-- COUNTY OF
Sworn to(or affirmed)and subscri before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence o Online No;arization Physical Presence or Online Notarization
this L4Qay of 2029 by this day of 2020 by
�G,fYIe.S UUt��i s
Name of person 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
(Signature of Notary Public- 14 (Signature of Notary Public-State of Florida)
ELLEN vAutar public
Commission o�`v'du'�% S4arP of F1ond# ga}�0079 Commission No. (Seal)
mission Tres
._ Com�omrnission Exp
MY 2 2022_
REVIEWS ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.5/6/20