HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1(�I (� �(� f
Date: Permit Number: I " 1 ) ' ` 49-
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: Building - Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 5404 Deleon Ave, Fort Pierce, Florida 34951
Property Tax ID #:
Site Plan Name:
Project Name: Kinser
DETAILED DESCRIPTION OF WORK:
Install 413ft of 6ft tall, wood fence. (1) 4ft wide gate. (1) 10ft wide double gate.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutter's
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft,of Construction: Sq..Ft. of First Floor: _
Cost of Construction: $ 9,575.00
Lot No. 4 & 5
Block No. 160
Windows/Doors
Roof : • • '-:,Pitch
Utilities: _Sewer .,_Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Kameron and Jennifer Kinser
Name: Tashara Lively
Company: Professional Grade Fence
Address: 5404 Deleon Ave
City: Fort Pierce State: _
Address: 470 Martin Road SE
Zip Code: 34951 Fax: N/A
City: Palm Bay State: FL
Phone No. (772)318-8337
Zip Code: 32909 Fax: (321)312-4787
Phone No (321)749-9884
E-Mail: NIA
Fill in fee simple Title Holder on next page ( if different
E-Mail professionalgradefence@yahoo.com
from the Owner listed above)
State or County License 30485
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.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name:
Addre!
City: _
Zip: _
R: _ Not Applicable
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
State
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Not Applicable BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
J —
_7�, I
6i ii ture of Owner/ Le s e/Contractor as Agent for Owner'
Si at a of Contractor/License Ho er
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF StLude
COUNTY OF Bream
The forgoing instrument was acknowledged bef
The forgoing instrument was acknowledged befor e
this � day of �Qe_pf r.tuber zo-Q by
this � day of 5pDtembe r 20l 99 by
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Tashara Lively
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Name of person making statement.
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Name of person making statement.
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Type of Identification
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Commission No. I �O l�o�� (Seal)
Commission No. ') (n I TJ Y (Sea
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19