HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �/•�2l Permit Number:av%-O\�5
RECEIVED
.° Building Permit Application ,::JN 0 3 2921
Planning and Development Services
Building and Code Regulation Division Commercial x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: fence installation
PROPOSED IMPROVEMENT LOCATION:
Address: 3200 st lucie blvd ft pierce
Property Tax ID #: 1428-702-1492-000-4
st< eienty
kft
Residential
Site Plan Name: boundry and topographical survey san lucia plaza unit 1for nai southcoast
Project Name: stb runways end perimeter fenceing and security gates
DETAILED DESCRIPTION OF WORK:" -
furnish and kma 23N alW high htlustrU grade phanded
thaiNhlk feace omwed Wth PN%eeaeen With h o d' wide ��b (Dedes�0a, 2V sin& mang dram gide9 end one a=m oo Mad W CEnmmerad didNp gate.
;-skQ 2, Jq 0 0 F `C , t{'•��, � -IyQ.:7c.%� GL.C�•�1�•—IC
f
2 2® S'('k 11 c. - - A��� ®v-t -S-0`
New Electrical Meter v Second Electrical Meter.
CONSTRUCTION INFORMATION:
Lot No. 1-9
Block No. 64
fey �L �•/��
II ii-er�� J t m'w:'e
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: $ 30,000 Utilities: _ Sewer _ Septic
Building Height:
""J
OWNER/LESSEE:
CONTRACTOR:
Namestb runways end Ilc
Name:Jason Porter
Address:100 albany ave suite 200
Company:The Fence Experts of the Treasure Coast
City: stuart State: _
Address: po box 281
Zip Code: 34994 Fax:
City: port salerno State:fl
Phone No.772-403-3752
Zip Code: 343992 Fax:
E-Mail:nikschroth@naisouthcoast.com
Phone N07722844906
Fill in fee simple Title Holder on next page (if different
E-Mailjasonthefenceguy@gmail.com
from the Owner listed above)
State or County License �� y
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.
S.UPPLE�ME'NTALCONSTRUCTION LIEN LAWIN,FORMATION;
DESIGNER/ENGINEER:_ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: X 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
with lender or an attorney before commencing work or recording your Notice of Commencement.
Signature of Ow Lessee/Contr as Agent for Owner
Signature ontractor/Licen older
STATE OF LORIDA
STATE OF FLORID4
COUNTY OFW(&Q31 .
COUNTY OF iAo4%,1. `*A,
Swo to (or affirmed) and subscribed before me of
Swor o (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this day of TVA& , 2020 by
this — day of a%JLS = , 2021 by
Name of person making statement. 7
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identificat' n
Produc d »7 -Z�3' u
Type of Idept4f`cation ,� !
Produ d l �Y� y" ��O''
f
ig ature of Notary Public- State of Florida)
Si nature of Notary Public- State of Florida )
Commission No. t5 4 q (Sgen Troxel
Steven Troxel
Commission No. d 6MI' Public
Notary Public
state of Florida
REVIEWS
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PLANS
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COUNTER
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REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/15/20