HomeMy WebLinkAboutAPPROVED KLIEN PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: DEBORAH KLEIN
Address: 201 E ARBOR AVE PORT ST LUCIE, FL 34952
Residential X
Property Tax ID #: 3419-501-0017-000-5 Lot No. 12
Site Plan Name: Block No.
Project Name: DEBORAH KLEIN
FTAILED DESCRIPTION OF WORK:
44 FT OF 4FT HIGH GALVANIZED CHAINLINK FENCE WITH ONE SINGLE GATE
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:.
Cost of Construction: $ 2485
Name DEBORAH KLEIN
Address: 201 EAST ARBOR AVE
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
City: PORT ST LUCIE Stateli-
Zip Code: 34952 Fax: _
Phone No. 772-631-7560
E-Mail: DKLEIN7560@YAHOO.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR: STUART FENCE
Name: CHESTER RICHMOND
Company: STUART FENCE CO
Address: PO BOX 2636
City: STUART State: FL
Zip Code: 34995 Fax: 772-288-3035
Phone No 772-288-1151
E-Mail STUARTFENCE@BELLSOUTH.NET
State or County License 20978
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.
MMMMMM
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.
Luc my and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
wffh len er or an attorney before commencing work or recording our Notice of Commencement.
Owner/ Less e ontractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_ ROi�� j1 COUNTY OF
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
ysical Presence or Online Notarization 1/Presence or Online Notarization
n�)sical
this day of 2024 by this [,, w day of A P 202t by
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Name of person making statement. Name of person making statement.
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Personally Known OR Produced Identification Personally Known ` OR Produced Identification
Type of Identificati�y I Type of Identification
Produced �(_ Produced
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(Signature of No ary Pubt' (Signature of Notary Public- Sta o CHRISTINE KOZA
CH ISTINE KOZA
State of Florida%Note
Notary Public,
ic, State of F($mission No.HH 4853
Commission No.Co9mi Nla",01 539 Commission No.
E�0�010.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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DATE
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Saint Lucie County Property Appraiser
Saint Lucie County Property
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