HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number: »
_ ; r BY RECEIVED ---
' ` u ;t Lucie County
• ' Building Permit Applicatio 1 DEC 10 2019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMITTYPE: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 310O N A1A
Property Tax ID #: 1425-606-0083-000-3
Site Plan Name:
Project Name: Sands on the Ocean
DESCRIPTION OF WORK:
Lot No.
Block No. —
Install 218' of 5' high semi -private vinyl fence (pool barrier) (2) 4' wide walk gates
Install 74' of 6' high semi private vinyl vence (pool bpEier) r --------------- 7-=!�
INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical
_ Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 12 160.00
_ Gas Piping
—Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:
—Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Sands on the Ocean Section 1 Assoc.
Name: Geary S. Adams Jr.
Address: 310O N AlA
Company: Adams Fence 2 LLC
Address:1206 8th St
City: Ft. Pierce State: FL
Zip Code: 34949 Fax:
Phone No. Trao 772-334-8900
City: Vero Beach State: Fl-
Zip Code: 32962 Fax:
Phone No 772-999-2038 =
E-Mailo- - -
E-mail elizabeth(cDadamsfencecompany mom
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License _98— a101�
If value of construction Is>zbuuor more, ancwnucu,..�� •••••• •�•••-••-•-• -"---
If value of HVAC Is $7,500 or more, a RECORDED Notice of commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State: _
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: _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. 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.
Inconsideration 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
g re of Owner/ Lessee/Contractor as Agent for Owner igna ure of Contractor/License Holder
STATE OF FLORIDA ,� Jr STATE OF FLORIDA
COUNTYOF "inalian Q COUNTY OF �ra��"�> lZ\J`f(
The for V ent was_ {nbknowled before me The fQrggj9gy nstrumee�pt was acknowledge l before me
AJOVa y b
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this da of 0 Qtti.t e( 20 by this da of
of 1
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Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification _ Personally Known V OR Produced Identification
Type of Identl at' Type of Identification
Produced Produced
(Signature of Notary P I - (Signature of Notary Public
• ELIZABETH EVANS
g�i
,,••'ywo ^-•, ELIZABETH EVANS +�`�.�_ ft9blic-Stateof Florida
Commission No.. ��°�:'�� Notdllc—State ofSoAds Commission No. `
Com IssioOFF 989142
CommismonlfF989142 ;'`�>+ea�, my Comm. Expires May4,2020
r 4,5026
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