HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST -BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: 2 • Q-7 1
Date:
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
PERMIT TYPE:
,-PROPOSED INPROVEMENT LOCATION:
Address: 8145 Hidden Pines Rd
Prooertv Tax ID #: 2323-701-0034-000-7
Site Plan Name: HIDDEN PINES ESTATES BLK C LOT 1(1.02 AC) (OR 3485-2695)
Project Name:
DETAILED DESCRIPTION OF WORK:
Installing 78'of 6'heigh wood board on board fence
Lot No.1
Block No. C
CONSTRUCTION INFO_ RMATION:
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: 78
Cost of Construction: $ 1326.00
Sq. Ft. of First Floor:
Utilitids: _Sewer _Septic Building Height:
OWNER/LESSEE: _ -
CONTRACTOR:,
Name Charles W Brown
Name: Mark Seguin
Company: A Quality Fencing, Inc.
Address:8145 Hidden Pines Rd
City: Fort Pierce State: F-t
Zip Code: 34945 Fax:
Phone No:540-905-2473
Address: 105 East easy street
City: Fort. Pierce, FL State: FL
Zip Code. 34982 Fax:
Phone No772-252-4907
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail aqualityfencing@gmail.com
State or County License 26866
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY:. _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 1 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
WARNINGTO 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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordinR your Notice of Commencement. i /1
Signature bf Owner/
as Agent for Owner I Signature of
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF .1_(Aci,P COUNTY OF S-L L(de— i .
The forgoing instrument was acknowledged before me
thisq� day of FicfA7 20cr—C by
Name of person making statem nt.
Personally Known OR Produced Identification
cif Identification
of Notary Public- State of Florida )
i No. (Seal)
ZONING
I@jjjWS I COUONTER I REVIEW
COMPLETED
The forgoing instrument was acknowledged before me
thisC23 day of 20 cP0by
Name of person making statement.
Personally Known R Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida ) ,
Commission No. (2V_7()(DgQq-7 (Seal) ^'
N
SUPERVISREVIEWOR I REVIEW NS I VEGETATIE EWON I SEA REV EWE I MANGRC
REVIEW