HomeMy WebLinkAboutNotarized Building Permit App - Temporary Fence 3.29.22All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
p L L `' 0, Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 7700 S Ocean Dr., Jensen Beach, FL 34957
Property Tax ID #: 3522-343-0001-000/3
Site Plan Name: Ouanalao Resort Site Plan St Lucie County Florida
Project Name: Seaside Resort
Lot No.
Block No.
[DETAILED DESCRIPTION OF WORK: J
Installation of 3,073 LF temporary chain -link fence - To be removed by the end of the project
(2) 6'x24' double swin
Fence height: 6 ft.
New Electrical Meter
gates, (1) man gate
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 47,300
OWNER/LESSEE:
(Affidavit required)
_ Generator
_ Windows/Doors
Sq. Ft. of First Floor: _
Roof
Utilities: —Sewer —Septic Building Height:
CONTRACTOR:
Pond
Pitch
Name Seaside 20, LLC Name: Donald Perry
Address: 277 Royal Poinciana Way Suite 156 Company: Jacob Industries, LLC
City: _ Palm Beach State: FL Address: 1720 E. Tiffany Drive, Suite 200
Zip Code: 33480 Fax: City: West Palm Beach State: FL
Phone No. 561-833-5500 Zip Code: 33407 Fax:
E-Mail: lee@heatoncompanies.com Phone No 561-741-1818
Fill in fee simple Title Holder on next page (if different E-Mail jacobadminfl@jacobcompanies.com
from the Owner listed above) State or County License 26940 - County License
I
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:
DESIGNER/ENGINEER:
Name:
Address: _
City:
Zip: Phone_
FEE SIMPLE TITLE HOLDER:
Name:
Address:
X _ Not Applicable
State:
_X _ Not Applicable
MORTGAGE COMPANY:
Name: ITG Capital Group
Address: 13490 Old Livingston
Not Applicable
City: _Naples State: -FL
Zip: _34109 Phone:.239-514-4484
BONDING COMPANY: _X _Not Applicable
Name: _
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF &'tn— aw—r�
Sworn IQ. (or affir )and ubscribed before me of Physical Presence or Online Notarization
this day of 20_ by
Name of person making statement.
Personally Known OR Produced Ide tification
Type of Identificatiop)Produced 0 1 -
(Signature of Notary�/Public-date of,ho
Commission No. 00-70W (Seal)
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I �
ou"•. NANCY LYN GAUTHIER
/,•`; Notary Public • State of Florida
Commission # HH 076444
My Comm. Expires Feb 21, 2025
Bonded through National Notary Assn.
PLANS VEGETATION SEATURTLE MANGROVE
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