HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Date: Permit Number: a4 v
FCFEB
7 2020
D
Building Permit Application's. Lucie County, Permitting
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:fence
PROPOSED IMPROVEMENT LOCATION:
Address: 5311 Suson Lane
Property Tax ID#: 1312-500-0102-000/1 Lot No.101
Site Plan Name: n/a Block No.
Project Name: fence addition
DETAILED DESCRIPTION OF WORK:
add new fence from existing fence corner at rear of property to existing fence at north corner of property and add
new fence and gate from west comer of residence to existing fence along NW side of property(wooden BOB fence panels)
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[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: na Sq. Ft.of First Floor: na
Cost of Construction:$ 1150.00 Utilities: —Sewer _Septic Building Height: na
OWNER/LESSEE: CONTRACTOR:
NameSteven R.Vigliano Name:(homeowner)
Address:5311 Suson Lane Company:
City: Fort Pierce State:_ Address:
Zip Code: 34951 Fax: City: State:
Phone No.772-577-6663 Zip Code: Fax:
E-Mail:vigliano@att.net Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
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: X Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:-
Address: Address.:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name:- Name•^a
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 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 DE OR TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature of O ne see o tactor as ent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF `UCS ^ COUNTY OF
The fnmoing instrLpTreffit s acknowledg9pefore me The forgoing instrument was acknowledged before me
thQTT day of 2Q2V by this day of .20_ by
f , ,eye-,O
Name of person making st4teiment. / Name of person making statement.
Personally Known OR Produced Identification ✓ Personally Known OR Produced Identification
Type of Ident' on Type of Identification
Produced L. Produced
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(Signature of N %ll,E,i� ic- ��LDri Ii LS E N (Signature of Notary Public-State of Florida
)
1PRY PL6�.
tate of Florida-Notary Public
Commission 07484
Commission N =• '_ si I� Commission No. (Seal)
OF F� Y ommission Expires`
June 12, 2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19