HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST
7 COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:""'' l Permit Numt e
- FEB 3 12019
------ Building Permit Appli, on
Planning and Development Services'. 1 ' J'Miitting Departmen
Building and Code Regulation Division St. Lucie County, FL
2300 Virginio.Avenue,Fort Pierce'FL 34982
P.h6ne:,(772)462-1553 Fax; (772)462-1578 Commercial Residential X
PERMIT TYPE:Fence
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Address: 5304 Oakland Lake Circle
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Property Tax ID,#: 1311-800-0035-000-8 Lot No,;22
Site Plan Name: OAKLAND LAKE ESTATES Block No.
Project Name: KELLY FENCE
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Approximately 64'feet of'6' HIGH-PVC privacy fence to.be'installed around,the-residence with one 5'wide'-walk:gate
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Additional work to be performed under this perrriit—check-all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric. _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq.Ft.of'Construction: Sq.Ft.of First Floor:
Cost of Construction'$ 1470.00 Utilities: _Sewer _Septic Building Height:
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NameCern Name:Aldo Duguay
Address: Company:D=Fence Enterprises, Inc.
City:. C Stat Address:2303 SW Kent Circle
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Zip CoC Fax: City: Port St Lucie State:FL
Phone No. Zip Code: 34953 Fax:
E-Mail: Phone No 561-768-1090
Fill in fee simple Title Holder on next page(if different E-Maildfenceent@gmail.com,
from the Owner listed above) State or County License29784
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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SUPPI.ENLENAL C®'NSTRU ION LIEN I,AW�INF®RI�1AT,1®.N
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'th'at 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 mayresultin 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
commenc' work or recording our Notice of Commencement.
Signatifire 5 ner/Less /Contr or as Agent for Owner Signature f=Contractor/License Holde
STATE OF FLORIDA fj � STATE OF FLORIDA }
COUNTY OF COUNTY OF C
The oIng inst t was acknowled before me The fo ing instr was ackno ledg before me
this day 2I by this dayof I�( 20IT by
6-y t
Name.of person makibg stat ent. person
�' Name of peon ma&)g state t.
Personally Known OR Produced Identificati6n`— Personally Known. OR Produced Identificat46n —
Type of Identificationz IdentificationType of Identifc ion
Produced �Q sPYpUet, Ta`dMY LYNN DUGUAY produced � �,- "' LYNN DUGUAY
MY COtdh11SSI0N#FF 972176 � ��y MY COM6YSSION'�FF 972176
EXP.IRES:June 12,2020 'r" � "� EXPIRES:June 12,2020
Bend-d Ttiru_Budget Notary Services r e ' -01M, Budget Notary Services
(Signature of Nota.)Public-State f Florida) (Signature of Not" Public-"State 'Florida)
Commission No. (Seal) Commission No. (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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