HomeMy WebLinkAboutBuilding Permit Application { ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO-BE,ACCEPTED
Date: Permit Number: '
Igo
•
-Building e It App]i cation
Planning and Development Services.
Building.and Code Regulation Division
2300 Virginia:Avenue,Fort Pierce FL 34982
Phone:(772)462=1553 -Fax:(772)462=157$ Commercial Residential X
PERMIT APPLICATION;FOR: Fence
PROPOSED IMPROVEMENT LOCATION':
Address: 81.02 Hibiscus Rd.,Ft.Pierce, FL 34951.
Legal Description: LAKEWOOD PARK-UNIT 5-BLK 53 LOT16(MAP 13102S)(OR 702-1281.)•
Property Taxr ID#: '1301-605-0308-000-3 Lot No.16.
Site Plan Name:'81"02=Hibiscus�Rci Block No. 53
Project-Name: Fence,@,8102"HibiscusRd
Setbacks Front Back: :Right Side: Left Side:
176ETAILED..DESCRIP-T-ION.GFVV-ORK:
Installation.of 189`of 6` high Shadowboxwood`fence with a metafframe gate
ICONSTRUC.T],O,N.INFO,RMAT-.4Ot4,:
nnAdditional work toe e Orme under.f is permit--c ec a appy:
i 1HVAC 13 GasTank �E]Gas'Piping ° Shutters windows/Doors
❑Electric Plumbing -1 Sprinklers DGenerator .'Roof Roof pitch
Total Sq.Ft of"Construction: S�Ft.ofFirst`Floor:
Cost of Construction:$-2000:00 'Utilities 't=]Sewer"ElSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name DorotheaRemling 'Name: Michael.J.Waldrop
Address:8102.Hibiscus Rd ,Company:Innovation Contracting Inc
.City: Ft.Pierce -State:FL Address P.O.-Box 12757
Zip Code: 34951 ,Fax: City: State::FL
Phone No.(772)461-1359 Zip.Code: 34979 Fax:.
.E-;M@iil:,cdremling@hotmaii.com Phone No. (772)519-9108 ,
Fil1_in;fee.simpteTtle:Holder:,on.nextpage.(ifa different E' ail: info.@innovationcontracting.com
from the-Owner-listed above) State or County License: CGCI511910
If.value.of:constructim!is'$2500:.or more,a..RECORDED Notice:of'Commencement:is required.
t
SUPPLEMENTAL CONSTRUCTION LkEN LAW FOR
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address:8102 Hibiscus Rd_,FVF`ierce,:FL'34951 Address:
City: State: City: State:
Zip: Phone Zip.: Phone:.
HE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable
.Name: -_ Name:
Address:P•o.Box12757 Address:
'City: City:
Zip: Phone: Zips Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
..I:certify1hat<no work:or:installation has commenced prior to1he:issuance::ofa 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.,P.leaseconsultwithyouur Home_Owners Association'.and'reviewyour..-deer_
d fon 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 structurWN
wimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TOER:Your�failure to,Record a Notice-of Commencement may result.in your,paying twice-for-
improvement to your.property.A:Notice of Commencement mus�Iith
ecorded and posted on the jobsite
before e:f' st inspect' If you.intend.to obtain financing, cons: lender o an attorney before .
,cominerlci work o rec rdin our Natice of`Commencement
Kf _ D?
Sign Contractor as Agent for Owner S' natur (cense Holder
ST TE OF`FLORIDA STATE OF LORIDA
COUNTY_OF ! UC1LC� COUNTY O.
The forgoing instrument was acknowledged before me The forgoing..instrument was acknowlecled.before�me-
this�- ay,of Time 20A by thist�day of_J V(�p 2 by
Name of person making statement Name of person making statement'
Personally Known OR Produced.Identification- Personally Known OR Produced.Identification
Type of Identifica ifies on Type of Ident " n'
Produced Produced_ "'�'P
KRISTY SEXTON �'•'•• KRISTY SEXTON
?. 'f Notary Pub
•State of Florida =?: Notary Public-State of Florida
Commission N GG 208344 ':,F off; Commission#GG 208344
.................' My Co Expires Apr 17,2022 ,oF .. My Comm.Ex '
rough National Nota Assn.
(Signature of ota Publ! (Signature of Nota: n Ii a, 737 Flzirma,7
Commission'No. C.I (Seal) TC0mmission.No: Gc CLC( (seal)
REVIEWS- FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE. MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED:
Rev.8/2/17