HomeMy WebLinkAboutBuildingPermitApplication Willis ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 7001 Bayard Road, Ft Pierce, FL 34951
Legal Description: Lakewood Park-Unit 10- BLK 129-Lot 11
Property Tax ID#: 1301-612-0259-000-6 Lot No. 11
Site Plan Name: Willis Fence Block No. 129
Project Name: Willis Fence
Setbacks Front 25+ Back: 4" Right Side: 4" Left Side: 4„
DETAILED DESCRIPTION OF WORK:
Install appx 203 LF of 48" high galvanized chain link fence with 2 walk gates and 1 double gate
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit—check a apply:
❑HVAC fi Gas Tank Gas Piping _Shutters Windows/Doors
Electric El Plumbing Sprinklers L1 Generator LJ Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 1800.00 Utilities:Sewer L1 Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name John Willis Name: Michael Alderman
Address:7001 Bayard Road Company: Veterans Fence Contractors Inc
City: Ft Pierce State:FL Address: 2100 SW Conant Avenue
Zip Code: 34951 Fax: City: Port St Lucie State:Fl
Phone No. Zip Code: 34953 Fax: 772-879-1009
E-Mail: Phone No. 772-678-2358
Fill in fee simple Title Holder on next page (if different E-Mail: eddie.alderman@yahoo.com
from the Owner listed alcove) State or County License: CBC-045563
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SVPPLEWNTA,CON-57 [3CT'ION LIEN LA !NFORMATtow
DESIGNER 'iNGINEER: Not Applicable MORTGAGE COMPANY: ^Not Appli ble
Name: Name:
Address: Address:
j City: State: City: — V Ilk State
zip: Phone: Zip: Phone:
FEE SIMPLE TITLE MOLDER: _Not Applicable BONDING COMPANY- _'Not Applic bie
Name: Name:
Address. P !L Address:
City: City:
I i Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced priorto the issuance of a permit.
St.Lucie Count, makes no representation that is granting a permit will authorize the permit holder to build the subject stru ure
which is in conflict with any applicable dome Owners Association rules,bylaws or and covenants that may restrict or prohi 'it 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 f r
improvements to your property.A Notice of Commencement must be recorded and pasted on the jab 'ite
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.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/Utense Bolder
STATE OF FLORID � �+ STATE:OF FLORIDA s � U� � �I �
COUNTY'OF COUNTYOF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 5 day of JV" _ 20 11by { this day of lamtg l pt 20 t by
I
(Name of person acknowledging) (Name of person acknowledging)
Signature of Notary Public-State of Florida j (signature of Notary Public-State at Florida} \\\kk%0111Itl y�ju
Personally Known_Jl3R Produ fl`� +Nl`401ilp/ ,j Personally Known _�OR Produced il�ifi�`rA��4,����ij�
Type of Identification Produced` ` yT Type of identification Produced
Commission No. Q �[ ) moo +: Co
1 mmission No. =,tSeal}
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Revised 07/I5/2014 A fveu tbo�$ �u' �i ac un.
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