HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�
Date: SCANNED Permit Number: Iu n -- a
.e. t BY
4 St. Lucie Count,
Building Permit Application REC.EIVE®
Planning and Development Services AUG t-7 2016
Building and Code Regulation Division II L I
2300 Virginia Avenue, Fort Pierce FL 34982 P ITTING
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ResW PT _ , _
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
Address: 100 Pepper Lane Jensen Beach FL 34957
Legal Description: Bay Tree Tract E
Property Tax ID #: 4511-503-0005-000-0
Site Plan Name: Bay Tree HOA
Project Name: Bay Tree HOA
Setbacks Front Back:
Right Side:
"7 —
228 ft of 54" high aluminum fence with 42" single gate
11HVAC u Gas Tank
11Electric OPlumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 7850
mC-0
Piping
Left Side:
ct3
ers L==1 Generator
S Ft. of First Floor: _
Utilities:12 Sewer E]Septic
Lot No.
Block No.
❑ Wind
11 Roof
Building Height:
,OWNER/LESSEE:
. t
CQNTRACTOR '
Name Bay Tree HOA
Name: Chester Richmond
Address:100 Pepper Lane
Company: Stuart Fence Company
,City: Jensen Beach
Zip Code: 34957 Fax:
Phone No. 732-644-0559-Chris
State: FL
Address: PO Box 2636
City: Stuart State: FL
Zip Code: 34995 Fax: 772-288-3035
Phone No. 772-288-1151
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: stuartfence@bellsouth.net
State or County License: 20978
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 ano 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, consult with Ipnder or an attorney before
commencing -work or -recording vour Notice of Commencement. //
Lessee/Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF n COUNTY OF
The for_gging instrument was acknowledgedbeforeme The for oing instr ment was a�cknowiedged before me
this—NayofJ tQ 6+ .20jkby this P=day of 20&_by
C4uris 46na kJs 011� 9te-il i)tOTOLd
(Name of person acknowledging) (Name of person acknowledging )
(Sign ture of Notary Public- State of Florida) (Sig ature of Notary Public- State of Florida )
Personally Known c�OR Produced Identification Personally Known _ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
Revised 07/
DIANE K BOND
EXPIRES December 28, 2018
Commission No.
MY COMMISSION #FF185430
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