HomeMy WebLinkAboutBuilding Permit Application i
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10-12-2017 Permit Number: n • !�(o`1n
nPermitA li
Building pp catin
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Fence
PROPOSED;IMPROVWNT LOCATION f' ,tt.'w.^rE, }{;'ni f,t jtF ¢�' r y
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Address:
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Legal Description: RIVER PARK-UNIT 7- BLK 71 LOT 4 (MAP 34/28S) (OR 3393-1153)
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Property Tax ID#: 3419-550-0127-000/1 Lot No.4
Site Plan Name: Block No. 71
Project Name: 1
Setbacks Front Back: Right Side: Left Side:
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Q TAILE�;D£SCRI'PTION(,>OfLWORKhsSu � E,a �� ?1 � ,}!
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Install 24ft of 6ft high wood stockade fencing
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CONSTRUCTION INFORMATIONz h� ��zk � ih'
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Additional workto b ISI orme un er t is.permit—check a _ app y:
nHVAC U Gas Tank ®Gas Piping U Shutters Windows/Doors
Electric ❑Plumbing Sprinklers EJ Generator Roof Roof pitch
Total Sq. Ft of Construction: S . of First Floor:
Cost of Construction:$ 250.00 UtilitiestSewer Septic Building Height:
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OVIINER/LESSEE �, A NTRACP�O «� Ai ,-
KI ,John Mackanicc N
Iva �datite:
Address:124 SE LUcero Dr Company:
City: Port St Lucie State:F1 Address:
Zip Code: 34983 Fax: City: State:
Phone No.772-236-8205 Zip Code: Fax:
E-Mail:marbiez@hotmaii.com Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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µSUPP..LEMIVTAL^"'CONStJRUC7ION LIEN LAVIIyIIORMATION ',�
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:John Mackanics Name:
Address:124 SE Lucero Dr Port St Lucie d Address: 124 SE Lucerol Dr
City: Port St Lucie State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Nan ne: Narne:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the ork 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:Iroom 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
cornmencing work or recording our Notice of Commencement.
Sig re of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �'°�c lu,r� Q COUNTY OF
The forgoing instr en was acknowledged before me The forgoing instrument was acknowledged before me
this�day of 20_0 by this_day of 20_ by
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Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known ! OR'Produced Identification
Type of Identification Type of Identification
Produced Produced
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ture of Notary Public-Starof Florida) (Signature of Notary,Public-State of Florida)
Commission No. (Seal) Commission No. (Seal)
•••`pSPa��'L9�, LASHAHN
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,2 °i is-State of Florid
REVIEWS FR mm ASURE-RV�h.afEVIEW
PLANS VEGETATION SEA TURTLE MANGROVE
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MINE mis ionRE�tfEC9 REVIEW REVIEW REVIEW
DATE '04"OKI Notary Ass;
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RECEIVED
DATE
COMPLETED
Rev.8/2/17