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Home My WebLink AboutBUILDING PERMIT APPLICATION} ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L� r Date: SCANNED Permit Number: BY k St. Lucie County RECEIVED Building Permit Applicatio Planning and Development Services OCT 19 NIB Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 �, •uce Coun , Permltt Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x PERMIT APPLICATION FOR: Fence PROPOSED IMPROVEMENT LOCATION:, Address: Holiday Out, 10820 S Ocean Drive, Jensen Beach, FI, 34957 Legal Description: Holiday Out of ST Lucie Recreation Area 4511-502-0194-000/8 Property Tax ID #: 4511-502-0194-000/8 Lot No. Site Plan Name: Holiday Out Recreation Area Block No. Project Name: Pickle Ball Court Fencing Setbacks Front 12 Back: — —ftht Side: _Left Side: DETAILED DESCRIPTION OF WORK: Install an 8 ft chain link fence around the two pickle ball courts, 62 ft by 62 ft, with 10 ft opening for entrance to the courts JU I LIU[Idl WInK LU UC eI I VIIIIea Uflaer Ln IS PerrrllL—CI 11 _ Gas Tank Gas Piping 11 Electric 0 Plumbing Sprinklers Total Sq. Ft of Construction:. Cost of Construction: $ 6000 Shutters ❑ Windows/Doors Generator Roof = Roof pitch S Ft. of First Floor: _ Utilities:'n Sewer E]Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Holiday Out, Doug Wachter, President Name: Gary Kasperowski Address:10725 S Ocean Drive, #123 Company: Treasure Coast Fence, Inc, City: Jensen Beach State:Fl Zip Code: 34957 Fax:772-229-2772 Phone No. 772-229-2926 Address: 2340 SW Deepwood Pass City: Palm City State: FI Zip Code: 34990 Fax: Phone No. 772-286-6694 E-Mail: holidayout@bellsouth.net Fill in fee simple Title Holder on next page ( If different from the Owner listed above) E-Mail: State or County License: County Cert # 25299, Fence If value of construction is 52500 or more, a RECORDED Notice of Commencement is required. r SUPPLEMENTAL CONSTRUCTION L'IEWLAW INFORMATION: V CJ1uItlCRfL1Yl]IIVCCR: z tvoc Hpplicaoie MORTGAGE COMPANY: Not Applicable Name: Holiday Out, Doug Wachter, President Name: Gary Kasperowski Address: Holiday Out, 10820 S Ocean Drive, Jensen Beach, Fl, 34957 Address: 10725 S Ocean Drive, #123 City: Jensen Beach State: City: Palm City State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name:_ Add resS: 2340 SW Deepwocd Pass Address: Zip: Phone: Zip: 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. 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 lender or an attorney before commencing work or recording our Notice of Commencement. ZZZ Signature of nnet/ Lessee/ ontractor as Agent for Owner Signatt e o C ntrac� r/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St Lu �— I'Z COUNTY OF The forgoing instru ent was acknowledged before me The for oing instru ent wa acknowledged before me 2�/day ' this 3 day of `� 204 by this 0 20 f- by //,, n_� Name of person making statement Name of preyr�so�n mak' g statement �,/ Personally Known OR Produced Identification L!LS—' Personally Known �—OR Produced Identification Type of Identification Type of Iden ca Jon , Produced.%� Produced C_ ELVIS R Rnr 'Wig-nature'Wig—nature of Notary Publi ago,, orl a. ELVIS R ROCK nature of Notary y. - ""o Plg4yd'N911C • State of Florida ..•"°d•• r^/ � ° `�•, fyottaary Public;- State of Flat Commission No. I / %%, ly 99653 = • •' Commission M FF 996539 da ��' • y Cam C 'mission No. M s Sep 21, 2020 • ._� kkllmissioo M 0 =?, `�My comet. Expires Sep 21, 2 v. .°�'° 20 Bonded Ihrough National Notary Assn. ' r4 fk Bonded through National Notary sn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW _REVIEW REVIEW REVIEW REVIEW DATE Q RECEIVED DATE COMPLETED Rev.8/2/17 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. is In conflimawith no representation Assoclationl ru rules, or andpcovenants thto at mayld estrictborprohibit 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 lender an attorney before commencingwork or recordingour Notice of Commencement Rev. B/2/17 SUPPLEMEf�ifAL CO�NSITRUC�T1®N �I��"NLA INx��Oftf t iA7l®IV �� ` DESIGNER/ENGINEER: _Not Applicable MORTGAGE CONfPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: Signature of net/ ontractor as Agent for Owner Signature o Cony ctor/Lic se Holder OUTNTYOFORIDG��fC`� STATE FFLORIDA �[ COUNTY S L OF_ J` u C I� The forgoing nstru e t was acknowledged�eY re me this da of 20 b The forgoing instrument was acknowledged before me this dad/ of 20_ by D/ ✓G O.r S Name of person making statement ��99 Personally Known _� OR Produced Identification l!J Name of person9iaki g statement rn Personally Known ��// OR Produced Identificatioriw Type of Identification Type of Identification Produced Produce gnature of Notary P Ibl'o.• rgtp, o Florida(jLVIS R ROCK (Signature of Notary Puill lic-•$ e„ f Flori a ,� ELVIS R ROCK' Natary�Public •State of Florida Commission No..� CohhRR�ilon M FF 995539 •,. aQ �'i p Commission No./ - ` •�" Notar Public •State of Florida C�MA�icn My Comm. Expires Sep 21, 2020 �qA� t�,, Bonded through •'e N FF 986539 My Comm. Expires Sep 21, 2020 •,3� ` •••• National Notary Assn. •ta`�� Bonded through National Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE' COMPLETED