HomeMy WebLinkAboutPermit Application DeVico ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: i` Permit Number:
.0111
411111111111111
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
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 9421 Portside Drive, Ft Pierce, FL
Legal Description: PALM BREEZES CLUB (PB 49-32) BLK 2 LOT 19 (OR 4107-509)
Property Tax ID#1: 2310-500-0061-000-8 Lot No.19
Site Plan Name: DeVico Fence Block No. 2
Project Name: DeVico Fence
Setbacks Front30'+ Back: 4" Right Side: 4-6" Left Side: 4-6"
DETAILED DESCRIPTION OF WORK:
Install 210 LF of 6' High PVC Privacy Fence with 2 walk gates
CONSTRUCTION INFORMATION:
Additional work to ff
orme un er t is permit—c ec a app y:
0HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ PlumbingSprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 2300.00 UtilitieslnSewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name I --so M:ct� Name: Michael Alderman
Address: 1 �� �a{ cde t`Zrc Company: Veterans Fence Contractors Inc
City: F-f State: fq-- Address: 2100 SW Conant Avenue
Zip Code: 34 q 51— Fax: City: Port St Lucie State:FL
Phone No. Zip Code: 34953 Fax: 772-879-1009
E-Mail: Phone No. 772-678-2358
Fill in fee simple Title Holder on next page( if different E-Mail: eddie.aiderman@yahoo.com
from the Owner listed above) State or County License: CBC-045563
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLE{VIENTAL; NSTRUC `ION LIEN LAW INFORMATIO ,-
DESIGNER/ENGINEER Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:Michael Aderman
Ad d ress:sQ21 Poneido odwe•Ft Piecrt Ad d reSs:
City: — Stat6:' City: Port&Lade State:
Zip: Phone s Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address.2100 SW Conant Avenue / Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is Ieby 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 usesto 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
commencing work or recording our Notice of Commencement,
X k az_ 1
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder -
STATE OF FLORIDA r" STATE OF FLORIDA
COUNTY OF T t u - COUNTY OF Z
The foegoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of / 20/�by this,30 day of /ry '20/Yby
Name of person making statement Name of person creaking statement
Personally Known I OR Produced Identification Personaliy Known R Produced Identification
Type of Identificatio Type of Identificatiorf
Produced Produced
r '
(Signature of Notary Pula ic-State of Florida l (S gnat',re of Notary Public-State of Florida}
Commission No. f5 (�1111NFHNllry�� Commission No. ���*��1J1'111
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COUNTER REJ EW --tEV1EW REVIEW VI6Wo93a23 RXVI$PN
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