HomeMy WebLinkAboutSIGNED PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/18/18 Permit Number:
J 7J
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: 1106 FLEETWOOD LANE FORT PIERCE FL 34982
Legal Description: DRIFTWOOD MANOR -SECTION ONE- LOT5 (0.50 AC) (OR 884-1212; 3947-2608; 4132-325)
Property Tax ID #: 3404-806-0005-000-8
Site Plan Name: 1106 FLEETWOOD LANE
Project Name: 1106 FLEETWOOD LANE FENCE
Setbacks Front Back:
I DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 5
Block No.
4REMOVE OLD FENCE ANDjNSTALL 141' OF 6' HIGH SHADOWBOX WOOD FENCE
CONSTRUCTION INFORMATION:
Additional work to be performedunder t ispermit — check a appy:
HVAC L__I Gas Tank ❑Gas Piping_ Shutters a Windows/Doors
11 Electric ❑ Plumbing Sprinklers E Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 2400.00
Sq. L. of FirstjFloor: _
Utilities: L ]Sewer louSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MARGUERITE COSGRAVE
Name: ly)-ol at l S S his ( I 1D
Company: Innovation Contracting Inc
Address: 1106 FLEETWOOD LANE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. (772)203-6556
Address: PO BOX 12757
City: FORT PIERCE State: FL
Zip Code: 34979 Fax:
Phone No. (772)519-9108
E -Mail: MAGGIEGC512@YAHOO.COM
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
u varve or construction is p[�uu or more, a KtcUKUtu Notice of commencement is required.
SIUPPEEMENTAL CONSTRUCTION :LIE'NJLA4iNINFORMATION:
DESIGNER/ENGINEER: x— Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: MARGUERITE COSGRAVE
Name:
Address: 1106 FLEETWOOD LANE FORT PIERCE FL 34982
Address: 1106 FLEETWOOD LANE
City: FORT PIERCE State:
City: FORTPIERCE State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: PO 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 pians, the Florida Building Codes and St. Lucie County Amendments.
The fflcina
ing building permit applications are exempt from undergoing a fu concurrency review: room additions,
accesstructures, swimming pools, fences, walls, signs, screen rooms a accessory uses to another non-residential use
WAG TO OWNER: Your failure to Record a Notice of Comm cement may result in your paying twice for
imprments to your property. A Notice of Commencement ust be re orded and posted on the jobsite
befoe first i ection. if you intend to obtain financing, c suit wit1er or an attorney before
com w k ot recordine vour Notice of Commenceme 1 \
Rev. 8/2/17
Signat re of Ow r Lessee/Contra Agent for Owner
Signatu e o r for/License Holder
STATE OF FILO DA
STATE Of FLORI
COUNTY OF ST LUCIE
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 18TH day of JULY20_ by
this 1811H day of JULY 20_ by
MICHAEL J WALDROP
MICHAEL WALDROP
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced identification
Type of Identification
Type of Identification
Produced
Produced
(Sign9fure of N& ublic- State of Florida )
Sign ureo Nota Public- State of Florida)
Commission NO. GG208344 L ea
"' r Pii`• KRISTY SEXTON
Notary
ommission NO. GG208344 yP••,, a
caia uq�t KRISTY SEXTON
Notary
Public - State of Florid
Public -State of Florid
Commission N GG 208344
...,� r M.,".,,
Commission # GG 208344
of OQ:+Co m. Expireq Apr 17 20?:
Bonded thro
gh National Notary As
n.
Bonded thrc
ugh National Notary Ass
REVIEWS
FRONT
PLANS
VEGETATION
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17