HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
t = Building Permit Application
Planning'ond Deve'lopmkntServices
Building and Code Regdlation Division
2300 Virginia Avenue, ort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED':IN PROVE ME'NT.LOCATI0W
Address: 8416 Cobblestone DR
Property Tax ID#. 2326-600-0136-000-1 Lot No.131
Site Plan Name: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT 131 Block No.
Project Name: Fence Installation
DETAI'LED,.DESCRfPTIONf OF WORK:
Installing 71'of aluminum in the back link 85'of tan pvc down both sides additional 14'from the sides to the
house. (1) 5'gate on the left of the house
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: 270 Sq. Ft.of First Floor:
Cost of Construction:$ 7100.00 Utilities: —Sewer _Septic Building Height:OWNER/LESSEE:-TOR,.,°
t
Name Benito R Permuy Name: Mark Seguin
A.ddress:8416 Cobblestone DR Company: A Quality Fencing, Inc.
City: Fort Pierce State: FL Address:105 East Easy Street
Zip Code: 34945 Fax: City: Fort Pierce State:FL
Phone No. 561-71.9-1201 Zip Code: 34982 Fax:
E-Mail: Phone No772-252-4907
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.
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 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 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commenqi6g wor or recording your Notice of Commencemen
Signa h re of Owner/Lessee/Contractor as Agent for Owner Sig ature of Contractor/License Holder
STATE OF FLORIDA� 1 STATE OF FLORID#►
COUNTY OF C t •Lc e « COUNTY OF lit r e,
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this JL day of r7417- 20_ZJ by this I I day of M4iL_ 20 l9 by
Name of person making statement. Name of person making statement.
Personally Known 1/ OR Produced Identification Personally Known L,----OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State of , Notary Public-State
, Y.•. : GABRIELL GABRIELLE H C ,
Commission No. (—,Gl�G,gDy7 ? S )%:; MYCMISSIO iC�G06904on o. &�'6g0�f7 )MYCOMMIS810N1t 64it
�- EXPIRES:Feb �.2615
dB��Rp^'B"#WThN Notary Ur&rwdtm EXPIRES!Febrw e,%2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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