HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
' ALL APPLICABLE INFO MUST BE rf%" E ED F
nnr� T OR APPLICATION TO BE ACCEPTcD
Date?: Permit Number: I�'
0
a� RECEIVED
Building Permit Application OCT 19 2018
Plann.ng and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Fence Addition SCANNED
PROP'0'S:ED IMPR,OVEMENT.LOCATION. ".
5
Address: 3354 NW Perimeter Rd, Palm City, FL 34990
I
Legal Dlescription: Wide Waters S/D Lots 26 and 27 (1063-2822: 1315-1683: 1307-2473: 1429-560)
Property Tax ID #: 4436-510-0030-000-6
Site Plan Name:
ProjectlName: Johnson Fence Addition
Setbacks Front Back: Right Side
Left Side: 20'
Lot No. 26 & 27
Block No.
,DE
TAILE,D DESCRIPTION r OF WORK
Add a new section of fence and automatic opener at the driveway entrance.
CON,STRU`CTION ,I N FORMATI lN.. fi
�..
Additional work to be performed under this permit —check all apply:
❑HVAC Gas Tank Gas Piping _ Shutters Windows/Doors
El ctric ❑ Plumbing ' Sprinklers 0 Generator Roof Roof pitch
Total Sq�Ft of Construction: So. Ft. of First Floor:
Cost of Construction: $ 35,000.00 Utilities:n Sewer 0 Septic Building Height:
I
01NNE"R/LESSEE
CONTRACTOR:
v
Name Platricia Tov Johnson
Name: Paul L. Kleinfeld
Address:I3354 NW Perimeter Rd
Company: First Florida Dev & Construction, Inc.
City: Palm City State:FL
Address: 200 NE Dixie Hwy
Zip Code : 34990 Fax:
City: Stuart State: FL
Phone No.
Zip Code: 34994 Fax: 772.692.2359
E-Mail:johnsonpw@aol.com
Phone No. 772.692.1387
Fill in fee simple Title Holder on next page ( if different
E-Mail: Permit@firstfloridainc.com
from the Owner listed above)
State or County License: CGCA20468
If value of1construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONST
T , N LI`EN LAMNFORMATION
_
DESIGNER/ENGINEER: x
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. Lucid 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing;-cons�Ilt with lender ran attorney before
commencing work or recording vour Notice of Commencement/ _ P
Signature of Owner/ Less a/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF 6�, L`v ct
The for oing instrument was acknowledged before me
thisrday of 0,4A%Pi� 201 � by
tIPA .sev-1 .
__—Na-me-of-p son making statement
Personally Known OR Produced Identification
Produ
(Signature
Commission No.
(NMN9 & 1 State of Ftwida
Commisalon N FF 915136
-My Comm.(Wis Sep 1, 2019
Banded ttrouph Natlood NotaryAw
A'�'Lt L_ r
ure of Contractor/License H
STATE OF FLORIDA U
COUNTY OF S-V, UAilttg
The forgoing instrument "was acknowledged before me
this 0 1,day of _ (tea, �i�� 2M by
ame f-p son making statement
ersonally Known , OR Produced Identification
Prod
(Signature of N
Commission
MYP,f1f ft'PSttlte of Florida
Commisslon # FF 915136
L Comm. Explr*S@�)1, 2019
bed through National Notary Assn.
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Rev. 8/2/i7