HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7-15--2J�..�
Permit Number:
•' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Aluminum Pool Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 3009 NW Radcliff Way, Palm City, FL 34990
Property Tax ID #:. 4425--703-0050-000-0 Lot No. 45
Site Plan Name: Rlverbend Block No.
Project Name: Zhu Residence
[DETAILED DESCRIPTION OF WORK: ^�
4' Hiah Aluminum Pool Fence - 333' LF w/3 Gates
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
X Mechanical _ Gas Tank _ Gas Piping _ Shutters
(Affidavit required)
1
_ Windows/Doors Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:. 333' LF Sq. Ft. of First Floor: _
Cost of Construction: $ 7400.00 Utilities: Sewer _Septic Building Height:
OWNER/LESSEE:
Name Shwdna Zhu
Address: 3009 NW Radcliffe Way
City State: FL
Zip Code: 34990 Fax:
Phone No. 469-866-7709
E-mail: shuvinazhu6aamail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Jason D P in e
Company:
-Erince Development Group, inc.
Address: 3608 E. Industrial Way, Ste. 1
city: West Palm Beach State: FL
Zip Code: 33404 Fax:
Phone No 561-840-3300
E-Mailprincedevelopmentgroup@gmail.corr
State or County License CBC1256464
If value of construction is 2S00 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:_
Address:
City: ,
Zip:. —
Phone
X Not Applicable
State
FEE SIMPLE TITLE HOLDER: —X—Not Applicable
Name:
Address:
City:
zip:.. _ Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:.
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone,
X Not Applicable
State:
XNot Applicable
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 pplicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult wit 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 your Notice of Commencement.
— <5vwv�--
Signatu Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA COUNTY OF Palm Beach
Sworn to (or affirmed) and subscribed before me of __X Physical Presence or Online Notarization
this day of 20 21 by
Jason Prince
Name of person making statement.
Personally Known x ` OR Produced Identification
Typ%of Ic*ti$ic;tion Produced__
19ignatb re V Nb' aiy Oubc-'State of Florida) �arPV&
CHERYL L AllIZZI
'
Commission No. -a61 Y3 (Seal) A-6)
Commission # GG 250143
ExpirusAugust 30,2022
FarP�o
Bonded ThiuBudget Notary SetvIces
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED _
DATE `
COMPLETED
ev J?l7/Z1
SUPERVISOR 1 PLANS VEGETATION I SEA TURTLE
REVIEW REVIEW REVIEW REVIEW