HomeMy WebLinkAboutPermit Application - 2nd Correction - A&G - Fields Res.All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 19' _1q! 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
X
PERMIT APPLICATION FOR: Alum. Pool Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 2115 Trowbridge Rd., Ft. Pierce, FL 34945
Property Tax ID #: _ 2213-434-0002-000-7 _ _ Lot No. N/A
Site Plan Name: 13 35 38 From NE COR OF SW 1/4 OF SE 1/4 RUN S ALG C/L Trowbridge Rd) Block No. N/A
Project Name-- Fields Residence (No DeveloDment name or Lot M
od k r I e-I -CA'.)
DETAILED DESCRIPTION OF WORK:
82' LF of 4' Hiah Alum. Pool Fence w/2 Gates
New Electrical Meter, Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
XMechanical _Gas Tank _Gas Piping _Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers — Generator . _ Roof
Pond
Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2600.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name i e-t Name:Jason Prince
Address
_Prinre Qey _ Group, Inc.
: company:
City: 1(C State: �_ - Address: r 1
Zip Code: Fax: - — City: West Palm Beach State: FL
Phone No. zip Code: 33404 Fax:
E-Mail:, irl Cdri� Phone No - 40-3 00
Fill in fee simple Title Holder on next page ( if different E-Mailprincedvelopmen!group@gmail.com
from the Owner listed above) State or County License CBC1256464
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNE
Name:_
Address:
City:
Zip:
NGINEER: Not Applicable MORTGAGE COMPANY:
Name:
_ Address:
_ State: City:
Phone Zip: Phione:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY:
Name:
Name:
Address:
_
Address: _
City'
City:
Zip: Phone:
Zip:
Phone:
X Not Applicable
State: ,
Not 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 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 irl5pection. If you intend to obtain financing, consult
with ler�r yr an attorney before commencingwork or rec In our Notice of Commencement.
Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Palm Beach
Swo t14,r affir d) an subscribed before me of, X Physical Presence or Online Notarization
this day of t 2Qg�Lt by
Pr i v1cle-
Name of person making statement.
Personally Known _X OR Produced Identification
Typ,q of Idyntiicgtion Produced
natui'aiNdtry ic-15tate of Florida f nsYAi'mi� CHERYL L AllIZZI
Commission No. GG (Sean * Comn;isslon#GG250943
u3 or Exl:ir;sAugust30,2022
or FL, BondodIhruBudgulNoleryServlcea
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED _
DATE
COMPLETED