HomeMy WebLinkAboutSLC Fence Permit Application ALL 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: 5002 HICKORY DRIVE
Legal Description: INDIAN RIVER ESTATES-UNIT 07- BLK 46 LOT 9 (MAP 34/02NANDS) (OR 3997-2510)
Property Tax ID#: 3402-608-0204-000-9 Lot No.9
Site Plan Name: 5002 HICKORY DRIVE Block No. 46
Project Name: 5002 HICKORY DRIVE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL 270' OF 6' HIGH STOCKADE WOOD PRIVACY FENCE WITH TWO 5' WIDE WALK GATES
CONSTRUCTION INFORMATION:
Additional work to b rformed under this permit—check all apply:
E]HVAC Gas Tank Gas Piping Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction: $ 2350.00 Utilities:cn Sewer E Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Fo-�e_' �)rk ses Name: MICHAEL WALDROP
Address: 5C p? �1ickL�1� Q( Company: Innovation Contracting Inc
City: State: �:L Address: P.O. Box 12757
Zip Code:, , 2 Fax: City: State: FL
Phone No. (� 2\ 21�—���1 Zip Code: 34979 Fax:
E-Mail: Phone No. (772)519-9108
Fill in fee simple Title Holder on next page ( if different E-Mail: info@innovationcontracting.com
From the Owner listed above) 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: x 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:P.O.Box 12757 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.
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 rnspection.
R.
Your failure to Record a Notice of Commencement y result in your paying twice for
improvementsr property. A Notice of Commencement must b ecorded and posted on the jobsite
before the fi If u intend to obtain financing, cons it
lender or an attorney before
commenci ork or re r .n your Notice of Co.mme.nce.ment.
? G ' G i
Si ture of Ow r /Contractor s Agent for Owner Si natur I Holder
STATE O:F.FLO DA STATE aDF.F.LOALVGI
COUNTY OF S¢ • W(j COUNTY Of
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2y�day of 3_/0_ 20M by this�hday of ,TUit,� 201E by
Name of person making statement Name of person making stat ent
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificatio Type of Identificatr n
Produced Produced
(SignAure WKcr ry Public-State f.off", G,) KRISTY SEXTON ig atu a of otary P ic-State of F rt� �s; KRISTY SE)T N
2 • :o ,:
<¢
Notary Public-State ofFlorida ? �= Notary Public State:o lorida
Commission No. al} Commission GG 208 4([o fission No. (/ ;� Commission#GG 0 44
oFA: y Comm.Expires Apr t ,2022oFF�°: My Comm.Expires A r 2022
Bonded through National NotaryAssn. Bonded through National of Assn,
REVIEWS FRONT ZOWNG SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17