HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLIC BLE INFO MUST. BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNB®
/ Permit Number:
} n. BY
St. Lucie County RECEIVED
Building Permit Application
Planning and Development Services APR 16 2019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permittii
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Fence III
Address: 453 S. Naranla Avenue, Port St. Lucie, FL 34983
Legal Description: River Park- Unit 4 Blk 32 Lot 8 (Map 34/27N) (Or 3744-1840)
Property Tax ID #: 3419-530-0008-000-9
Site Plan Name:
Project Name: Coffey Reisdence
Setbacks Front 160' Back: 29.48'
Right Side: 9.67' Left Side: 135,
Lot No. 8
Block No. 32
IbETAILLD DESClOTIOMOF WORK:'"'
4' High Aluminum Pool Fence 150' Linear Feet w/ 2 GkesA
0
�4=
11HVAC LJGas Tank
11 Electric El Plumbing
Total Sq. Ft of Construction: 150' L.F.
Cost of Construction: $ 3,650.00
3ermlt—cnecK ail
that apply:
Gas Piping
IL —II Shutters
Windows/Doors
Sprinklers
Generator
D
Roof
=
Roof pitch
S Ft. of first Floor: _
Utilities:n Sewer 0 Septic
Building Height: 4-
OIWNER/LESSEE, q
CONTRACTOR xmh
Name Coffey, Larry D 8 Kathleen A
Name: Jason D. Prince
Address: 453 S. Naranja Avenue,
Company: Prince Development Group, Inc.
City: Port St. Lucie, State: FL
Zip Code: 34983 Fax: N/A
Phone No. (772) 878-7752
Address: 3608 E. Industrial Way,
City: West Palm Beach, State: FL
Zip Code: 33404 Fax: (561) 855-4821
Phone No. (561) 840-3300
E-Mail: N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: PRINCEDEVELOPMENTGROUPCa GMAIL.COM
State or County License: CRC-1256464
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Qnyy __6 1 a0�_ 10'� 1127, 11
SUPPLEMENTAL CONSTRUCTION UEMtAW INFORMATION`.
UrOMIM lt/rlvativeelt: + .NotAppliicable MORTGAGECOMPANY: ,i Not Applicable
Name: Name:
Address: Address:
City: State: _ City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: ✓ Not Applicable
Name:
Address:
BONDING. COMPANY:
Address:
Zip: Phone:
UWNtN/ CON] KACTQR AFFIOVIT: 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 Counmakes no representation that Is granting a permit will authorize the permit holder to build the subject structure
which is in conflty ict 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 ofthe granting ofthis requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approvedplans, 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, consult with lender or an attorney before
commencing work -Or recordin2A6ur Nntiep of rnmmpnramant
resfor Owner
Signa ctor/License HolderSlgnatuw
STATEOA
OR
STATE OF FLOD��
COUNTY OF. ST LUCIE
COUNTY OF
The forgoing instrument was acknowledged before me
The forgg��mg instrument was acknowledged before me
this28 day of FRRRTJARV 201Q by
this �t`'tllay of N(Lfi 201d by
LARRY COFFEY�
o
Name of person making statement.
'Name of person making statement.
i
Personally Known OR Produced Identification X
Personally Known v OR Produced Identification
Type of Identification
Type of Identiflcat
Produced T)RTVF.R T.TCENSE
'ZI14 r '119 x 119"rw QfAA49 1/`—
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( ignat of Notary Public- State of Uda ) 1_E1_njp1ureof
No ublic-State-of Florida)
Commission No. GG249625- (Seal)-
Commission No. C-c-4 an5;j (Seal)
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ANGE_A BORSOOI-BIRMINGHAM
E
l
V
Commission. „' GG 249625
My Comm. Expires Aug 16, 2022
k through. National Notary Assn.