HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 0(�
Date: Permit Number
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Building Permit Application JUL 3 tots
Planning and Development Services �'ermitting Lfepartment
Building and Code Regulation Division St. Lucie 0U nt FL
2300 Virginia Avenue,Fort Pierce FL 34,982 yr
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 100.13Iue Grotto Dr. Fort Pierce 34954
Legal Description: Palm Breezes club 49-32
Property Tax ID#: 231050001000004 Lot No. 6
Site Plan Name: Block No. 4
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION:OF WORK
6 ft high wood shadowbox style fence with 3 total gates. 2 09 '
CONSTRUCTION INFORMATION
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A.c1clitional work o be pertormea underthis perms –c ec all thatappy:
_HVAC _Gas Tank _Gas Piping _Shutters —Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 20an Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE, ;CONTRACTOR:
Name_ Y� Name: Lionel Dunbar
Address: f 2c:_'Ki,,e, 0V +o P 1 Company: Black street Enterprises lic
City: -%f- State: Ft Address: 535 N Mercantile pl unit 107
Zip Code: -Fax: City: Port Saint Lucie State: FI
Phone No. Str 1 ?0 4- - 6y 3/o Zip Code: 34984 Fax: 954-931-5707
E-Mail: Phone No. 772-344-8203
Fill in fee simple Title Holder on next page(if different E-Mail: Ldunbar@bsefl.com
from the Owner listed above) State or County License: CGC 1509119
If value of.construction is$2500 or more,a RECORDED Notice of Commencement is required.
51JPPtEMEh1TAL CONSTRIJCTIC?NfiL1EN,tAU1/ INFQRIVlATION
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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.
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 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
commencin wor r recording our Notice of Commencement.
Sig ure of caner/Lessee/Contractor as Agen n e r Sigripfure of ontractor/License Holder
STATE OF FLORID / �� STATE OF FLOR�ILA
/COUNTY OF � �{.w COUNTY OF /,lt,at
The for oing instrum w s acl<nowledged efore me The forgoing instru nt was acknowledg before me
this day of 20 lr b M this O� day of 20� by
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Name of pe n ming statement 1, Name of p so aking statement %o
Personally Known '� OR Produced Identif catiork: Personally Known _OR Produced Identifica ion
Type of Identification X n � Type of Identification m <
Produced � 0 Produced X p
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(Sign ure 8f Notary
('Public-State of Florida) N -n (sig tur of Nota�ryPu�blic-State of Florida) • m T rn
Commission No. V$33 (Seal) o y' Commission No. (Seal) o 9e
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17