HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Y• �� Permit Number: / C/ SV
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
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Address: 6506 Flora Way
Legal Description: Lakewood Park Unit 7 BLK 78 Lot 7 (MAP 13/02N) or (757-1317)
Property Tax ID#: 1301-607-0210-000-5 Lot No.7
Site Plan Name: Hodge Block No. 78
Project Name: Hodge
Setbacks Front Back: Right Side: Left Side:
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Install 138 of 4' high galvanized chain link fence with (2) 5'wide walk gates
"gate: left front
*gate: right side
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Aciclitionallw6rkoOto ee Orme un er this,permit=check a apply:
HVAC _n
Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers a Generator LJ Roof Roof pitch
Total Sq.Ft of Construction: Scl.Ft.of First Floor:
Cost of Construction:$ 2,066.00 Utilities: Sewer Septic Building Height:
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O0V11NER LES�E � u x a ,.'Ir ..a ..
Name Brenda Hod.ge Name: Geary bieve Aaams Jr.
Address: ora Way Company: ams Fence
Ft. Pierce
City: State:_ Address:
Zip Code: 34951 Fax: City: Vero opach State:FL
772-468-1162962
Phone Nod Zip Code:, 99-2038 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.
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QESIGNER/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 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:
Imconsideration 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;feom 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.
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Signatu Owner/Lessee/Contractor as Agent for Owner Sig t6r of Contractor/License Holder
STATE OF FLORAA STATE OF FLORIDA
COUNTY OF n Ian River COUNTY OF ndian River
The fg ing inst�L�ment was acknowledged before me The f ing instVenk was acknowledged before me
this 1 ffday of IVIarCtl 20_ by this��day of IVIarctl 20_ by
Geary S.Adams Jr. Geary S.Adams Jr.
Name of person making statement Name of person making statement
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(SigNota„ .ubli - t e f o 'd ) (Signature of Notary Public-State:of Florida)
,, ELIZABETH EVANS
Com I al) Commi FLIZABETHEVANS (S i>
- f Florida ;' Notary.Public-State of Florida
Commission 142 ,y •' Commission M'FF 989142
'••.',EocF,. My Co.,.ExpuesMay 4,I020 .+
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REVIEWS FRONT ZONING SUPERVISOR PLAN btA IUKILtMANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17