HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3• � d Permit Num r: ® �
® r . RECEIVE®
Building Permit Applicati® i APR - 2 2018
Planning and Development Services
Building and Code Regulation Division Permitting
2300 Virginia Avenue,Fort Pierce FL 34982 Department
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Re&erltUt a C011nty, FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IIUIPROVEMEIVT�'LOGATION �Ta
z
Address: 8402 Kenwood Road,Ft Pierce,FL 34951
Legal Description: LAKEWOOD PARK-UNIT 5-BLK 54 LOT4(MAP 13/02S)(OR 2809-689)
Property Tax ID#: 1301-605-0326-010-8 Lot No.4
Site Plan Name: Block No. 54
Project Name: Wendell Wood Fence
Setbacks Front25' Back: 15' Right Side: 4„ Left Side: 4„
r
Install 1,6 'LF of 6'Wood Fence with 2 walk gates
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CO[VSTRUCTIONINFORMATION` r#k; h t w{
nIt[ona wor to e e Orme un ert [s permit—c ec
all apply:
L=MVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric ❑Plumbing (�S rinklers ❑Generator ❑ Roof Roof pitch
Total Sq.Ft of Construction: Sc
of First Floor:
Cost of Construction:$ 2300.00 Utilities. Building Height:
OWNER/LESSEE f k 1 ' CONTRACTOR 7 r�
1t 0,
Name Mathew Wendell Name: Michael Alderman
Add ress:8402 Kenwood Road Company: Veterans Fence Contractors Inc
City: Ft Pierce State:FL Address: 2100 SW Conant Ave
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.aiderman@yahoo.com
from the Owner listed above) State or County License: CBC-045563
If value of construction is$2500 or more,a RECORDED Notice of commencement is required.
SUPI?nLEMENT/ALCONSTRUC�T(ON�L`LNr{�1 `>>INFORMr4Tt{OIVs "�
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: A Address:
City: State: City: State:
Zip: Phone Zip: Phone'
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING CO PANY: Not Applicable
Name: 1 r 4 Name:
Address: 4 Address:
City: If NCity:
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.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF s COUNTY OF -7 �
The forgoing instrument was acknowledged efore me The forgoing instrument was acknowledged before me
this�day of 1771'212-C (� 20LVby this_day of 20_ by
Z z/if rP1�na7✓t -AJ
Name of person making statement Name of person making statement
Personally Known_ C OR Produced Identification Personally Known_X OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Notary uf lic/Sttate`` o tiSsioN A ,���`�di (Signature of Notary Public-Stat\�Qe(i�K RI 1110'
Commission No. �>e zojN; Commission No. J QST r
#GO 093823 v ��• �o
2:o GG 093823
REVIEWS FRONT Z' b�br,� �bR PLANS VEGETATIONfC ��6Nff-
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COUNTER R l�C"' 1 1 REVIEW REVIEW i undo,. ftPIEW
DATE /fill N1\\ /'Z,Cr'1 11111 Nb
RECEIVED
DATE
COMPLETED
Rev.8/2/17