HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services P
1$1. 21 1019
j Building and Code Regulation Division permiin9.Department
2300 Virginia Avenue, Fort Pierce FL 34982 " I U':w Count\'
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
it PERMITTYPE: FENCE
!Address: 166 SE JARDAIN RD PORT ST LUCIE FL, 34983
Property Tax ID #: 3419-565-0048-000-9
!Site Plan Name:
IProject Name: VINYL FENCE
Lot No. 9
Block No. 77
FURNISH& INSTALL APPROX 185'FT OF VINYL FENCE TONGUE & GROOVE 67T TALL COLOR WHITE
2 WALK GATE
T�cic� tNFC?R�ATIQN r s 4 i x
5„'�,....
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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
!Total SO -Ft of Construction:
Cost of Construction: $ 5900
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
Name DEBORAH MCFADDEN
Address: 166 NE JARDAIN RD
City: PORT ST LUCIE State: 1-1
Zip Code: ' 34983 Fax:
Phone No. 732 639 3228
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is 52500 or more. a RECORDED Notice of
Name: FI IC6AN- 1C0"Cr Lden_\a4�c 5
Company:.MS oc�e"5�'�i j Dews LC
v
Address: 2 'J S.L ni3"� S�nect'�_
City:?-F_ %*-- 0-4 State:-F-L
Zip Code: :SA984 Fax:
Phone No 71:12-359,OMAA
E-Mail aL.L. ,ff'V -ige, O2t$0.6c kQ:%\.CsM
State or County License C RC_ I21.212i
is reauired.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. .
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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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St1PPLEM�NT`AC�GQNSTRUCTIQN LIIAN�LAIN IN�C,?RMATIQN'r5
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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:
Si ture of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
ST TE OF FLORIDA—
STATE OF FLORIDA
C UNTY OF t- l.a �i ��
COUNTY OF
The f going instrui ent was acknowledged before me
this � day of ) 204 by
ing instrument was a <nowl edge fore me
The f bcdayof
this 201y
Name of person making statement.
Name of person making
�statement.
Personally Known OR Produced Identification
Personally Known �/
OR Produced Identification
Type of Identificatiiaw
Type of Identification
Produced
Produced
r �
(Signature ry Public-
nature of
-
o�r*r u Notary Public State of Florid
+ � (g�j�sa Destio
Co iss n No. My Commission GG 204486
C mission No.
o�Sr P4 Notary Public State of Flori
_ �' �'h� Destio
N � GG 204486
Expires 04 1912022
• y o mission
y�' Expires041912022
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