HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE CCUWfPLETED FOR APPLICATION TO BE ACCEP7EDl f (�n`�r
Date: 3/21/2021 Permit Number: �/ �3_0(65
9Uo RECEIVED
02l~!MAR 2 2 2021
Building Permit Application Permitting Department
Planning and Development Services st. Lucie Counbi
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 replacement
PR.OPOSfD IMPRQUEIVIENT LOCATION
.,,. 5205 Paleo Pines Circle
muu i caa.
Property Tax ID #: 1312-801-0151-000-3 Lot No. 348
Site Plan Name: HOLIDAY PINES S/D-PHASE II-B- LOT 348 (MAP 13/12S) Block No.
Project Name: Rhodewalt
�IL'ED DIES"CR13Pl ION OFWORK. qr,r' s -
u .� o
we and replace 6'wood fence and gate with 6 woo ence an gate
New Electrical Meter Second Electrical Meter
CONSTRUCTIQNaINFORMATION
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 oC2�$truttiorr-� Sq. Ft. of First Floor:
Cost of Construction: $ 2400.0 Utilities: _ Sewer _ Septic
Building Height:
OWNER%LESSEE
fix,`. ,b m
CONT'R°ACTOR
Name Lynne IVI RhoclewaltName:
Company:
Address: 5205 a e0 Pines Gir
City: Ft. Flierce, FIL State: _
Address:
City: State:
Zip Code: 34951 Fax:
772-564-8777
Phone No.
Zip Code: Fax:
Phone No
E-Mail: IrhO ewa ao .com
E-Mail
Fill in fee simple Title Holder on next page ( if different
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.
SUFPLEIVI'ENTAL
C:ONSTRUCTfON LIEN
LAIN INORIVIATIO`N
° a.
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 Count 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 recording our Notice of Commencement.
c�
Signatur f Owner/ Lessee/Contr for as Agent or Owner
Signature of Contractor/License Holder
STATE F FL(ITT
STATE OF FLORIDA
COUNTY OF � . ucie
COUNTY OF
S orn to (or affirmed) and subscribed before me of
X
Sworn to (or affirmed) and subscribed before me of
ysical Presencehr Online Notarization
GUUii
Physical Presence or Online Notarization
this day of , 2020 by
this day of 12020 by
Lynne M. Rhodewalt
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Prod ed
Produced
(Signatur of otaryPu—blic-t5tateof lori
ure of Notary Public- State of Florida )
GG9O8OS% r'1�r vas.. CATHY DAWN
Commission No. ?° Notary Public - state
GG
F RR
f Elorida Seal
0 m sion No.
��`_
�{ Commission a
.7�!°o-,:
.,, o� My Comm. Expires
Au 27, 2023
n.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20