HomeMy WebLinkAboutBUILDING PERMIT APPLICATION�ti
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��� SCANNED Permit Number:
RM BY
- - St. Lucie County
COUNTY
JUL 29, 1019
-----__- Building Permit Applicationartment
Planning and Development Services permittln9 County
Building and Code Regulation Division 5t. Luce
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial xxx Residential
PERMITTYPE: Chain link Fence: 40' of 6' w/ 1 gate
P.ROP,OSED�IMP.ROVEMENTLOCAITIION: S.1 &!1! erofproperty
Address: 2306 S. 39th Street
Property Tax ID tt: 2420-221-0009-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Peppermint Patti
DETAILED DESCRIPTION OF WORK:
Chain Link Fence -Commercial- approx. 40'L x 6' t 1 ( l l
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1,637.00 Utilities: -Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name: Daniel Lawrence
Name JWL Enterprise Inc.
Address: 8041 SE Orchid Terrace
Company: Daniels Fence Corp
City: Hobe Sound, FL State: _
Address: 2885 se Jefferson St
City: Stuart State: FL
Zip Code: 33455 Fax:
Phone No.
Zip Code: 34997 Fax:
E-Mail: Please see Contractor
Phone No 772-283-2383
Fill in fee simple Title Holder on next page (if different
E-Mail Permits@DanielsFence.com
State or County License 26262
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
E
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State: _
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 Count
yy 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 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."
r -
(
Signatur o Own' r/ Lessee/Contractor as Agent for Owner
Signat re of Con ctor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Martin
COUNTY OF Martin
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 16 dayof JULY 20_ by
this 16 dayof JULY 20_ by
Daniel Lawrence
Daniel Lawrence
Name of person making statement.
Name of person making statement.
Personally Known xxx 0 ucedIlrrrJ 611111REYNOLDB
Personally Known xxx OR Pro ed IdBR'$NR WRE=CLD
Type of Identification NOTARY PUBLIC
Type of Identification NOTARY PUBLIC
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Produced — ATE OF
Produced — LBTATEOFFLORIDA
Canrrdf OG251282
Comm# GG251282
s 9/19/2022
xplres 9/19/2022
ure of Notary u lic-St t9lorida)
ature of Nota ubli -State f Florida )
Commission No. GG251282 (Seal)
Commission No. GG251282 (Seal)
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Rev. 21//19