HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -
Date: Permit Number: � -osu
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 IMPROVEMENT LOCATION:'
Address: 765 Cypress ST
PropertyTax ID#: 3419-501-0087-000-6 Lot No. 16
Site Plan Name: RIVER PARK-UNIT 1 BLK 8 LOT 16(MAP 34/22S) Block No. 8
Project Name:
DETAILED DESCRIPTION OF WORK:
Installing 63'of 6'heigh wood shadowbox fence with one 5'gate and one 4'gate
CONSTRUCTION INFORMATION:
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: 63 Sq. Ft.of First Floor:
Cost of Construction:$ 1371.00 Utilities: —Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Jennifer Krause Name: Mark Seguin
Address:765 Cypress ST Company: A Quality Fencing, Inc.
City: Port Saint Lucie State:_ Address: 105 East easy street
Zip Code: 34952 Fax: City: Fort. Pierce, FL State: FL
Phone No. 772-528-7156 Zip Code: 34982 Fax:
E-Mail: Phone No772-252-4907
Fill in fee simple Title Holder on next page(if different E-Mail aqualityfencing@gmail.com
from the Owner listed above) 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 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:
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
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 inspection.If you intend to obtain financing,consult with lender or an attorney before
commencipi work or rE,5fordingour Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signati of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF c . LLIal COUNTY OF . Luc , -.p_
The forgoing instru��LLent was acknowledged before me The forgoing instrupierlt was acknowledged before me_
this day of 1-eh 20,9Lby this_A5dayof Fclp 20�b by
Name of person making statement. Name of person making statement. „
ally Known Produced Identification Personally Known Produced Identification "i
' e f Identification Type of Identification =°4;..,,.•
ced Produced
I�'.. = IR
m
gsl iture,of NotaryPublic-State of Florida) (Signature of Notary Public-State of Florida) ,
issioh No. Ca C)t pC eC)L� (Seal) Commission No. D4 7 (Seal) Q
co M
N Go
Z T O T
0 A
JEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MA ROVIC
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW R
VATIJ
AWGERVED
DATE
COMPLETED
ev.9/215/18