HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
- Building Permit Applicati n MAR 2 8 2019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XX
PERMITTYPE: FENCE
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Address: 7201 CITRUS PARK BLVD, FT. PIERCE, FL 34951
Property Tax ID#: 1301-611-0028-000-5P Lot No.28
Site Plan Name: Block No. 101
Project Name:
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_DETAILEDDESCRIPTION OF WORK
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1.INSTALL 80 FT OF WOOD PRIVACY FENCE ON FRONT OF PROPERTY EAST TO WEST WHERE CURRENT METAL FENCE IS INSTALLED.
OLD PERMIT NO C1612-0466 lj q`, j✓�,ypLJ� �[Pt'AG2oss j-�ij�; �T dC of `�
2. INSTALL 82 FT OF WOOD PRIVACY FENCE ALONG SIDE OF PROPERTY NORTH TO SOUTH.
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CO,NSTRUCTION�INFORMATION=' k
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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: Sq. Ft.of First Floor:
Cost of Construction:$ 450.00 Utilities: —Sewer _Septic Building Height:
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OWNER/LESSEE �,g CONTRACTORxt £; A }ya < v—
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NamePHILIP MARTIN Name:
Address:7203 CITRUS PARK BLVD Company:
City: FT. PIERCE State:_ Address:
Zip Code: 34951 Fax: City: State:
Phone No.772-216-1261 Zip Code: Fax:
E-Mail:MARTINPHILIP _ATT.NET Phone No
Fill in fee simple Title Holder on next page(if different 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.
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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 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 SIITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signatu4ofw—neir�/L&essee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF C I COUNTY OF
The for ing instru ent was acknowledge before me The forgoing instrument was acknowledged before me
thisday of 21)1 by this day of 20_ by
hl U D �IAtYI h4
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification– Type of Identification
Produced Produced
(Signature of Nota �N I (Signature of Notary Public-State of Florida)
EMT,
KAREN S. NIEt_SENState of F` i a Notary Public Commission No. (Seal)
Commission No. ommis§c� '# GG 207484
My Commission Expires
June 17/ 9n99
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.