Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 2 )/�' Permit Number: i a .t iwi 0� i 7� • . Building Permit Applic tion MAR 1 12020 Planning and Development Services Peri- il�tIt'19 De'��r' Building and Code Regulation Division � � �a� li•1"12f7t 2300 Virginia Avenue,Fort Pierce FL 34982 St. L y C I e C O U D tY r F Phone: (772)462-1553 Fax: (772)462-1578 Commercial Resl 2-i'#a-F X PERMIT TYPE: .P�flPOSED IMPROVEMENT LOU TION r � Address: - `�(�� �6i P-eHD/2; �! Property Tax ID#: 3402-609-0181-000-4 Lot No.3 Site Plan Name: INDIAN RIVER ESTATES-UNIT-08-(MAP 34/11 N) (OR 2987-1453) Block No. 57 Project Name: DETAILED DESCRIPTION C1,F ORK: - Installing 289'of 6'heigh wood board on board fence with one 5' gate f CC?NSTRUCTIt?N 11111=ORMATION:' 11 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: 289 Sq. Ft. of First Floor: Cost of Construction:$ 5504.00 Utilities: —Sewer _Septic Building Height: f311/NERJLES5EE � � CONTRACT�� Name MARTHA TAYLOR Name: Mark Seguin Address:5404 BIRCH DR Company: A Quality Fencing, Inc. City: Fort Pierce State:FL_ Address: 105 East easy street Zip Code: 34982 Fax: City: Fort. Pierce, FL State: FL Phone No.772-370-0891 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 LItN LAW INFORMATION DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: 'I 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 AFF IDVIT: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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me' The forgoing instrument was acknowledged before me this day of 20_ by this_day of 20_ by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. i 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 thepermit 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 inspection. If you intend to obtain financing, consult with lender or an attorney before corfirrfenc,ing work or recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Sign ture of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF - Lug, COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this /1) day of I—I A 2 20.7o by this Iy day of t1(—(L— ,20,.71D by kc-ke-k 4--s (�Cbc. I I, V1, Name of person making statement. Name of person making statement. Personally Known V/OR Produced Identification Personally Known _,----OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Publi nature of Notary Public-Stat •a r •. GGti►F.. .- GABRIELLE HICKS g�. •. GABRIELLE HICI S Commission No. 90�1� ;•_ �y' QMMISSION#GG 06 7C mission No. o& o 7 $e COMMISSION#GGO J IRES:February 2.2021 EXP '•.$o���qr Bonded TTw Notary Pudic U ;� Bonded Tlw Notary Pu ikvy 2 2 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.