HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
bate: \t016\ydl Permit Number:
Building Permit Application OCT 3 ® 2019
Planning and 1 Development Services
Building and Code Regulation Division ST_Ltaei��gunty, Permitting
2300 Virginia!Avenue,Fort Pierce FL 34982
Phone:'(772).462-1553 Fax:(772)462-1578 Commercial Residential X .
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PERMIT APPLICATION FOR: Fence
.PRQPOS'D1�IIVIP�R,�O�UE SENT L®CA►T�10 . � �,* -
Address: 2101 N 53 Fort Pierce fl 34951 ti
Legal Description: Harmony estates blk B lot 12 less n... 25' and lots 13-14 less
To swfmd or 1258-758
Property Tax ID#:143170200370000 Lot No.12-13-14
Site Plan Name: Block No. B
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roject Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION-OF W®RK:
00' of 6' wood shadowbox fence with gates
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CONS°1�R�U�¢1®N (NFOiRMATI®N: -
i iona Work o be performed under tnis perms --chpa.all.that apply:
HVAC _Gas Tank _ Gas-Piping _Shutters ^Windows/Doors
_Electric ^Plumbing _Sprinklers _Generator _Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 2300 Utilities: _Sewer _Septic Building Height:
OWiNER'/LESZEE! .CONTRAtrTOR:.
Name Art of st.lucie county Name: Lionel Dunbar
Address: P.0 box 1016 fort pierce ;fl company: _ Black street Enterprises llc
city: Fort Pierce fl 3 state: F1 Address: 535 N Mercantile p1 unit 107
j Zip Code: 34950 Fax: City: Port Saint Lucie State: F1
i Phone No:' Zip Code: 34984 Fax: 954-931 -5707
E-Mail: Phone No. 772-344-8203
Fill in fee simple Title Holder on next page(if different E-Mail: Ldunbar@bsefl.com
from the Owner listed above) State or County License: CGC 1509119-
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CON'STRUCTI`ON LlEN� LAW'INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
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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 ce i ify 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 jobsite
before the first insp tion. If you intend to obtain financing, cons t with lender or an attorney before
com ncin, ecordin our Notice of Commencement.
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2figribitue of Own /Le ee/Contractor as Agent for Owner SI ature¢f Contractor/License Holder
S TE OF FLOR STATE OF FLORIDA
OUNTY OF ' COUNTY OF
The fro�oing instru e t was acknowledged before me The forgoing instrument was acknowledged before me
t is/ I day o 20 by this day of ,20_ by
al�l J� I
eA�boy�lld /J
Name of perso"a ' g statement Nam of person aking statement
Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produce Produce
(Si natu a of Notary
yPublic-State of Florida) (Sighat0e of Notary Public-State of Florida )
Commission No. &RWINA E DAMS Commission No. KR&gk E DAVIS
MY COMMISSION#FF96083 MY COMMISSION#FF960833
EXPIRES March 08.2020 ''fip•v °'� EXPIRES March 08.2020
11.107r 98•0'53 narld Note, Servloe.con: (•107) 98-0'53 noridtft iay5ervlee.00rn
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
I
COMPLETED
Rev.8/2/17
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