HomeMy WebLinkAboutScan 2019-3-11 11.07.16All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/26/19 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 X
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
'ERM IT TYPE: Fence erection
ROPOSED,IMPROVEMENT LOCATION.
7802 Lockwood Dr
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Property Tax ID #: 1301-603-0214-000-1 :i Lot No. 12
Site Plan Name: Hi -Land Properties Block No. 24
Project Name: Easy
ETAILED DESCRIPTION OF WORK:
Install 88'of high chain link fence & 26'of 4 ig c ain in
(1) 3' wide walk gate
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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: 5q. Ft. of First Floor:
Cast of Construction: $ 2 , 167.00 Utilities: _Sewer _Septic Building Height:
OWNERAESI S E: �—.—..�
CONTRACTOR: 1
Lan raper�ie�
e, GearyAdams
Name1-ii
NamO"
Address: Corporate ay 5644
Company: ams Fence 2 LLC;
West Palm Beacht
City: State: _
t
Address:
City: Vero Beach State:
Zip Code: 33407 Fax:
772-766-37 Phone No. Mary a y
Zip Code: Fax:
772 -999 -203B7 -
Phone No
E -Mail: mea yea y(a-Pao .com
Fill in fee simple Title Holder on next page ( if different
E -Mail ellza eth (9?adanisfence2@1_)yahbo.com
State or County License 27078
from the Owner listed above)
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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Signature of Owner/ Lesse ontractor Agent for owner
Signature of Contractor/License Holder `— T
STATE OF FLORIDA
River
STATE OF FLORIDA
River
COUNTY OF n Ian
COUNTY OF Indian
The f ing inst ent was acknowledge efore me
r'
February
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name of pe rsog making statement.
_
Name:
Personally KnownOR Produced Identification
Address:
Type of Identification
Address:
Produoed
City:
State:
City:
State:.
Zip: Phone
NotaryP�iblic-StatepFFlarida
:
Zip: Phone:
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FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY: —Not
Applicable
Name:
Name:
Address:
PLANS
Address:
City:
COUNTER
City:
REVIEW
Zip: Phone:
REVIEW
Zip: Phone:
REVIEW
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 thepermit 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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Rev. 2///19
Signature of Owner/ Lesse ontractor Agent for owner
Signature of Contractor/License Holder `— T
STATE OF FLORIDA
River
STATE OF FLORIDA
River
COUNTY OF n Ian
COUNTY OF Indian
The f ing inst ent was acknowledge efore me
r'
February
The f ing inst rent was acknowledged efare me
ffday t-eDruary
this day of 20 by
this of 20�Oby
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Name of pe rsog making statement.
Nami of perso ma ing statement.
Personally KnownOR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produoed
Produced
(Signature of Notary Public- State of Florida 1
(Signature of Notary Public- State of Florida
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Rev. 2///19
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