HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /,��
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Date: s '�L��l Permit Number: V
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'COUNTY }' JqN �Fo
tiagir. _ _ini _� Building Permit Applicati 7L 8?0,0
Planning and Development Services <4%
Building and Code Regulation Division - x°4924,0440.
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:Fencing
PROPOSED'INPROVEMENT LOCATION
Address: 5505 Hickory Dr., Fort Pierce, FL 34982
Property Tax ID#: 3402-609-0208-000-0 Lot No.3°
Site Plan Name: Collins Block No. 57
Project Name: NA
DETAILED DESCRIPTION,OF WORK
Installing 187 feet of 6 foot high Board on Board fencing with two 5 foot gates
CONSTRUCTION"INFORMATION
Additional work to be performed under this permit—check all that apply:
Mechanical _Gas Tank _Gas Piping Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 187 feet Sq. Ft.of First Floor:
Cost of Construction:$ 2421.00 Utilities: _Sewer _Septic Building Height:
`OWNER/LESSEE: CONTRACTOR:
Name Christopher R Collins Name:Mark Seguin
Address:5505 Hickory Dr. Company:A Quality Fencng, Inc.
City: Fort Pierce State: FL Address:105 East Easy Street
Zip Code: 34982 Fax: City: Fort Pierce State:FL
Phone No.772-940-8607 Zip Code: 34982 Fax:
E-Mail: Phone No 772'2524907
Fill in fee simple Title Holder on next page(if different E-Mail aqualityfencing@gmail.com
from the Owner listed above) State or County License26866
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION;,LIEN LAW INFORMATION =
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable,
Name: I Name:
Address: I 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
commenciniL ork or recordin: our Notice of Commencement.
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Signatu'e of w'wner/Lessee/Contractor as Agent for Owner Signat a of C ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA '
COUNTY OF ...--)_ -}-. I_un,.-e.- COUNTY OF c .Li-«-per 1
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1-1 day of man ,20 Lc(by this I-1 day of (",. .,r) ,20 )C( by
l'A-i rAl-e_- k,-(--icA.K.,,, &loc---;e ii,e- 'IA i C__4(
Name of person making statement./ Name of person making statement.
Personally Known OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of Identification
Produced Produced
-- '"---------))"" tr. ..(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Commission No.C��ct0 L47 (Seal) Commission No. �t -O(pgO- 7 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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• `.:i EXPIRES:Februa�y.2,2021 (4404§,„.
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