HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
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 X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 7908 SEBASTIAN RD
Legal Description.. LAKEWOOD PARK UNIT4-BILK 30 LOT 4 (MAP 13/11 N) (OR1 260-2966 :3953-1947)
Property Tax ID#: 1301-604-0070-000-2 Lot N0.4
Site Plan Name: Block No. 30
Project Name:
Setbacks Front60 Back: Right Side: 52 Left Side: 15
DETAILED DESCRIPTION OF WORK.
316' OF 6' WOOD FENCE W/ 2 GATES
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all appy:
HVAC Gas Tank []Gas Piping In Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 1-16 C) Utilities:11Sewer 0Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameCARRIE MARKS Name:
Address:7908 SEBASTIAN RD Company:
City: FORT PIERCE State:FL Address:
Zip Code: 34951 Fax: City: State:
Phone No.772-464-2619 Zip Code: Fax:
E-Mail: 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.
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 TITLE HOLDER: 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 thepermit 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.
i
Sig ature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S7. L,. oc COUNTY OF
The fowing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�day of OEceIM08IL 20J 7 by this day of 20_ by
GARitie MARkc
Name of person aking statement Name of person making statement
Personally Known �OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Publi gnature of Notary Public-State of Florida)
o'Wy°"%�� DONALD M.HOLMAN
Commission No. 41 • "h PuElie-State of Flow t mission No. (Seal)
�f 9/324ro •? Commission#FF 9132
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mot,��= My Comm.Expires Sep 20,2 19
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17