HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
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: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 7202 Wintergarden Parkway
Legal Description: Legal Description LAKEWOOD PARK -UNIT 11- BILK 143 LOT 3 (MAP 13/12N) (OR 4120-253)
Property Tax ID #: 1301-613-0116-000-5
Site Plan Name: 7202 Wintergarden Parkway
Project Name: 7202 Wintergarden Parkway
Setbacks Front Back:
IWAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 3
Block No. 143
Installation of 215' of 4' high galvanized chain link metal fence with a 5' wide walk gate and a 10' wide
drive gate
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name Ronald Walker
Name: Michael Waldrop
Additional work tojeper orme under
HVAC Gas Tank
tis permit—checka
[]Gas Piping
appy:
_ Shutters
a Windows/Doors
11 Electric ❑ Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
SFt. of First Floor:
Cost of Construction: $ 1950.00
Utilities:n Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Ronald Walker
Name: Michael Waldrop
Address: 7202 Wintergarden Parkway
Company: Innovation Contracting Inc
City: Ft. Pierce State: FL
Zip Code: 34951 Fax:
Phone No. (954)383-3444
Address: P.O. Box 12757
City: State: FL
Zip Code: 34979 Fax:
Phone No. (772)519-9108
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: info@innovationcontracting.com
State or County License: CGC1511910
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City: State:
City:
State:
Zip: Phone
Zip: Phone:
this day of , 20 by
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
Type of Identification
Address:
Produced
Address:
City:
City:
Zip: Phone:
Zip: Phone:
ature o Public State of & or• KRISTY SEXTO
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.
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 t�Y'our property. A Notice of Commencement must be recorded and posted on the jobsite
before the fir inspection. If you intend to obtain financing, consult wi fi lender or an attorney before
commenci _nrork or recording your Notice of Commencement.
Rev. 8/2/17
Sign of Lantr,�ctor,' ense Holder
Sign re of Owne / Lessee ntractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIT
COUNTY OF J • b )cj
COUNTY OF 11- Lu6
The forgoing instrument was acknowledged before me
t"
The forDing instrument was acknowledged before me
this day P 20 by
this day of , 20 by
of _—Tt t
�Yl i c)Q--L � J , QJ rl ,rnn
j � � p ,� J, , 1,_yj (I r(�o
Name of pe son making statement
Personally Known OR Produced Identification
Name of p rson making statement
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of of Public- State f F. R�• a KRISTY SEXTON
ature o Public State of & or• KRISTY SEXTO
22' Notary Public - State of F
Commission No. ��� ��c7 yr,?iri) Commission a GG 2083
'r My Comm. Expires
G�
1:1, Notary
rida n Notary Public - State of
o mission No. t� `•;�, w "I Commission x GG 20
or n..-' Comm. Expires Apr
Apr 17,
2022 y
Bonded
Bonded through National Nota
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Assn. through National Not
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17