HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �• �C1. Permit Number: ) _
s ARM
10
MAR 8 2099
Building Permit Applica "on
Planning and Development Services errnittlnCg' Depurtmen
Building and Code Regulation Division St. LU C I e Co IntFL
2300 Virginia Avenue,Fort Pierce FL 34982 �r
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMITTYPE: Fence
PROPOSED IMPROVEMENT,LOCATION-; St,L"ucie Count T
Y
Address: 7902 Lakeland Boulevard, Fort Pierce, FL 34951
Property Tax ID#: 1301-607-0113-000/5 Lot No.
Site Plan Name: LAKEWOOD PARK-UNIT 7-BLK 74 LOT6 (MAP 13/02N) (OR 4133-611) Block No.
Project Name:
.DETAILED DESCRIPTION OF.WORK
replace existing fence with new 8x6 B.o.B PT Pine with a 5' single and a 10'double drive gate on the 23'front sin(
east, single 5'gate on the 13'front west, single 5'gate on 90' rear north, 86'west, 86'east.
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: e2/y L' �. Sq.Ft.of First Floor:
Cost of Construction:$ �1o2Q� Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE ;CONTRACTQR
Name Kimberly&Edward Nicholson Name:
Address: 7902 Lakeland Boulevard Company:
City: Fort Pierce FL State:_ Address:
Zip Code: 34951 Fax: City: State:
Phone No.772-332-8995 Zip Code: Fax:
E-Mail:SEABREEZES914@HOTMAIL.COM` Phone No
Fill in fee simple Title Holder on next page(if diffei,ent E-Mail
from the Owner listed above) State or County License
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.
,SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY- _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER ORA ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signa re-of-=DA
Lessee/Contractor as Agent for ignature of Contractor/License Holder
'o
STATE OF TATE OF FLORIDA
COUNTY OF OUNTY OF
' moo
The fq�ing instrument was acknowledged before he forgoing instrument was acknowledged before me
this_day of /77,?C4-B— 20� by his day of 20_ by
Name of person maki g statement. ame of person making statement.
Personally wn OR Produced Identificatio .� ersonally Known OR Produced Identification
Type of Identifica ' ype of Identification
Produced �� Produced
(S-ignature of N ary Public-State of Florida) (Signature of Notary Public-State of 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
Rev.2/7/19