HomeMy WebLinkAboutBuilding Permit Application ALL APPLICARIM COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: F627.ST)BE
Permit Number:
Building Permit Application
Planning and Development Services
Building.and-Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(172)462-1553 Fax:(772)462-1578 Commercial, Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the,end of line
TIOCATION7.-.,�,�x,""
IM VEMEN
PR
PROPOSED,
Address:*5406 F- Echo Pines Cir 34
Legal Description: Holiday Pines SID Phase I- Lot 144
Property Tax ID#: 1312=500-0145-000-4 Lot No.144
Site Plan Name: Block No.
Project Name: Chesney
Setbacks Front Back: Right Side: Left Side;
DETAILED'DESCRIPTION
Install 248`of 6' high vinyl fence with (2) 4'wide walk gates
CONSTRUC
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ACIattional work to be Dertormed under this permit–check a app Y:
0HVAC Gas Tank E]Gas Piping Shutters M Windows/Doors
1-1 Electric Plumbing ]Sprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 7,420.00 Utilities: Sewer[]Septic Building Height:
Name Leigh Chesney Name: Geary Steven Adams Jr.
Address:5406 E Echo Pines it Company: Adams Fence
City: Ft. Pierce state:I-L Address: 1206 8th St
Zip Code: 34951 Fax: city: Vero beach State:
Phone No.772-579-5674 Tony Zip Lode- 2962 Fax:
E-Mail: Phone No. 772-999-2
Fill in fee simple Title Holder on next page I If different E-Mail: info adams tencecompanyxom
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 CONST RUCTIOWLIEN�LAW IIVFgRMATION �
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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.
5t.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: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 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 FLORIDA
COUNTY OF COUNTY OF =felt
The f9fgoing instrAprilment was acknowledged before me The fyrpoing instraiment was acknowledged.before me
this_day of20/8 by this_tai day of April20&by
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One of persoa making statement Name of pers_ orymaking statement
Personally Known OR Produced Identification Personally Known f/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(SigrWure of NQ§W ublic-State of Florida) (Signature of Notary Public-State of Florida)
`�"P EL1Zg8ET}{E Commissio o
Commission N VAN
ELIZA8ETH EVANS
NotaryPublic-StateofFlorida • •Oy
ar C6mmtssknpfF989142 3,;�*. Notary Public—state ofFtorida
s . Commission a FF 989142
May,1,102 '•,!3a,Mgr MyC mm,ExplresMay4,.2020
REVIEWS FRONT 020 RVISOR PLANS AtVGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17