HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST13E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: l s(
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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 Reside' ntial YES
PERMIT APPLICATION FOR: p
To Select from dro box, click arrow at the end of line
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PROPOSED IMPROVEMENT LOCATION:
7008 LAKELAND BLVD
Address: I'
Legal Description: 7008 LAKELAND BLVD
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Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: I � 11
REMOVE, AND REPLACE 217 LIN FT OF 6 FT HIGH WOOD FENCE WITH 1 DOUBLE DRIVE GATE
CONSTRUCTION INFORMATION:
itiona wor to e e orme under this permit—check all t=appy: I '
1JHVAC Gas Tank Gas Piping _Shutters
❑ Windows/Doors
Electric 0 Plumbing Sprinklers Generator i ' Roof Roof pitch
Total Sq. Ft of Construction: 217 S . Ft.of First Floor: !
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Cost of Construction:$ 2223 Utilities: Lj Sewer Ij S ptic I Building Height:
OWNERAESSEE: CONTRACTOR !, ac e s„
Name KRISTAN BEARE Name: KEENAN MCGLASHEN,' j
Address:7008 LAKELAND BLVD Company: THE FENCE C6MPANY OF SOUTH FLA INC
City: FORT PIERCE State:FLA Address: 186 SW KANNERiHWY
Zip Code: 34951 Fax: City: STUART I. State:FLA
;Phone No.772-633-3481 Zip Code. 34997 I Fax:
E-Mail: Phone No. 772-713-9802
Fill in fee simple Title Holder on next page(if different E-Mail: KEENAN73@LIVE.COM
from the Owner listed above) State or County License: 17-00028600
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. i
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: ; _Not Applicable
Name:KRISTAN BEARE Name:KEENAN MCGIASHEN
Address:7m1-MELANOBLVD Address: TwsIAKEuwoBLyo
City: FORTMERCE State: City: SART i State:
Zip: Phone Zip: Phone: I
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:186SW KMNER HM Address: i
City City: I.
Zip: Phone: Zip: Phone:
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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.
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St.Lucie County makes no representation that is granting a permit will authorize the perrhit 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 ui es 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 grid posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with Iender br" an attor y before
commencing work or recording our Notice of Commencement.
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�Ig_nAurof Owner/Lessee/C ractor as Agent for Owner Pignature of Contras for/Lice ise Holder
STATE OF FLORIDASTATE OF�'�c� -e COUNTY OFORIDiAr7 i
COUNTY OF 'C
The forgoing instruu ent was acknowledged efore me The forgoing instrup ent was acknowledge -before me
this day of �CKO ,20 by this bWday of 'X(I ,20—Loby
Name of person making statement 4lame of person making statement
Personally Known OR Produced Identification Personally Known OR''Produced Identification
Type of IdentififAtkon Type of Identi icatio' pl
Produced _ Produced
r.&.M.J� I
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(Signatifre o - o (Signatu of Nota b ic-g t e of Flor
Y AiJG A �� FER
}p 20337 ANGELA D STONESIFER
Commission 9r. .'= MY COMMISSION +�' �'' I/ca�I'
Commission No. %•' COMMISStND GG120337
EXPIRES June 29,2021
EXPIRES June 29,2021
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION ,SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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