HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE�FO fPST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
(J� Permit Number: d�� O I (p•
RECEIVED
04
JAN 2022, , Perm,t A� � ,
cation
St.Lu
Planning and Development Services P mittin unty
9
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:
PROPOSED. IMRROVEMENT:LOCATION
Address: 8209 Amalfi Clr
Property Tax ID#: 131170001210001 Lot No. 17
Site Plan Name: Waterstone phase one Block No. 2
Project Name:
DETAILED DESCRIPTIONOF WORK:
Install 66 ft of 6 ft white vinyl with 1-5 ft gate and 72 ft of 4 ft black Aluminum with 1 -4 ft gate
New Electrical Meter:NW:Second Electrical Meter
CONSTRUCTION INFORMATION :`
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: $ 2000 Utilities: —Sewer _Septic Building Height:
OWNERAESSEE CONTRACTOR:.
Name Jennifer Mansfield
Name: -- —_ -
Address: 8209 Amalfi cir Company:
City: Saint Lucie county State: D Address:
Zip Code: 34981 Fax: City: State
Phone No. —I'R— s —7 6— —)QC 2--,� Zip Code: Fax:
E-Mail: Jennikate7811@bellsouth.net Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
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.
I
; IJPPI:EMENTAI.GQNSTRUGTI N LIEN"'LAW INFQR(1/IATIQfV
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: a Nat Applicable BONDING COMPANY: VNot 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
ith nder or an attornev befo a commencing w rk or recording our Notice of Commencement.
Ig t of Owner/Les a Contractor s Agent or Ow Signature o or/License Holder
S ATE F FLORIDA STATE OF FLORIDA
CO TY OFF l COUNTY OF
Swop to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
"/Physical Presence or Online Notar tion Physical Presence or Online Notarization
thisQM%ay of i7C«N__CtY"(a r 42e-bVU this day of 2020 by
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kknrnPY Ua��td
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification ✓ Personally Known OR Produced Identification
Type of Ide tification Type of Identification
Prod edQ`i W?Vf 11C:,P (311' Produced
( ' nature of Notary Public-Sta a of Flor (Signature of Notary Public-State of Florida )
Commission No. 5q(�5E- 1 STEPHANIE GAM Zssion No. (Seal)
Notary Public-state o o?iCommission�t HH 1 5955
REVIEWS FRONT ZO Jed through National h tary Assn.
am VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5 6 20