HomeMy WebLinkAboutBuilding Permit Application All:APPLICABLE INFO.MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED //�� /D1 0
Date:AUG 5 2019 Permit Number[Cf C)8 V Y
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Building Permit Application �AP6
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Planning and Development Services av DeQa
Building and Code Regulation Division �������e Gey
2300 Virginia Avenue,Fort Pierce FL 34982 Pet
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT WPETENCE
PROPOSED.IMPROVEMENT,LOCATION.
Address: 5712 SPRUCE DRIVE FORT PIERCE FL 34982
Property Tax ID#: 3402-610-0234-000-5 Lot No.9
Site Plan Name: INDIAN RIVER ESTATES UNIT 9 Block No. 78
Project Name: DAVIS FENCE INSTALL
:DETAILED DESCRIPTION OF WORK: .
INSTALLATION OF 253'OF 6'WHITE VINYL FENCE WITH 2-5'WALK GATES
'CONSTRUCTION"INFORIViATION:
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:$ 7400.00 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR;
NameMAUREEN DAVIS Name:MICHAEL J WALDROP
Address:5712 SPRUCE DR Company:INNOVATION CONTRACTING INC
City: FT PIERCE State:_ l` Address:PO BOX 12757
Zip Code: 34982 Fax: I City: FT PIERCE State:FL
Phone No.772-828-0646 i Zip Code: 34979 Fax:
E-Mail:TOOTEACH7@AOL.COM ! Phone No 772-519-9108
Fill:in fee simple Title Halder on next page(if different E-Mail JIM@INNOVATIQNCONTRACTING.COM
from the Owner listed above) State or County License CGC1511910
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.
UPPkMt1TAL CQ[USFRUI1� ELtN lfdll 1l £�R11ATw�Q�f Rs �
DESIGNER/ENGINEER: x_Not Applicable MORTGAGE COMPANY: gaot Applicable
Name: Name: �!
Address: Address: l
City: State: City: State:
Zip: Phone Zip: Phone:
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: ,k3lilot Applicable
Name: l Name:
Address: i 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, I�
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use j
"WARNING TO OWNER: YOUR FAILURE TO. RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR 1 C ROVEMENTS TO YOUR PROPERTY. A NOTICE OF MMENCEMENT MUST BE RECORDED AND
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POSTED THE JOB SITE BEFORE THE FIRST INSPECTION. IF Y99 INTEND TO OBTAIN FINANCING, CONSULT
WITH Y LENDER 91111 AN ATTORNEY BEFORE RECORDING YO11.0flOTICE OF COM NCEMENT."
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Sipatul w essee/Contractor as-40%t for Owner ` d n actor/License Ho
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STOF FLORIDA STATE OF FLORIDA
1 COUNTY OFSTLUCIE COUNTY OFSTLUCIE i
The forgoing instrument was acknowledge before me The forgoing instrument was acknowledged before me
this s day of AucusT 201' by this s day of AUGUST 201
7 by
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( MICHAEL J WALDROP MICHAEL J WALDROP
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification [
Type of Identification Type of Identification
. Produced It Produced
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Signature of Notary Public tate of Florida) ( gnature of Notary Public-State of Florida}
Commission No. .►*• JAMEJStHiNGTON,JR. ` Commission No. :Noo
SA tN. ON,4EVIE
Notary Pub({c,Stale of FlawcmffO sign No.=19860 i y Public,State of Ftaor mission REVIEWS FRO PLANS VEGETA �`� s irea COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW R
DATE
RECEIVED I
DATE
COMPLETED I 9
ev.2/1/19