HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Apo 8,2020 Permit Number: e5�— oz,5-7
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Building Permit Applica ion APR 2 0 2020
Planning and Development Services
Building and Code Regulation Division Permittling Depaartment
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2300 Virginia Avenue,Fort Pierce FL 34982 r
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,;tiai ude County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Re entiai-
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION-",
Address: 5008 Deanna Lane, Ft. Pierce, FL 34946
Property Tax ID#: 1430-702-0021-000-2 Lot No.5
Site Plan Name: Greenacres Block No.
Project Name: Picket Fence
DETAILED DESCRIPTION OF WORK:
Replace wooden fence that has rotted.
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CONSTRUCTIONINFORMATION:
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: Sq. Ft.of First Floor:
..k
Cost of Construction:$ f4`00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE. CONTRACTOR:.
Name John M Greer Name:Owner
Address:5008 Deanna Lane Company:
City: Ft. Pierce State: Address:Same
Zip Code: 34946 Fax: City: , State:FL
Phone No.772-519-2077 Zip Code: Fax:
E-Mail: cojogreer@aol.com 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.
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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 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 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 W 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 LENDER OR AN ATTORNEY BEFORE RECORDIIN YOUR NOTICE OF COMMENCEIMENT.-
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Signature of Owner/Lessee Contractor as Agent for Owner Sig ture of Contractor/License Holder
STATE OF FLORID STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instr ent was acknowledged before me The for oing instr ent was acknowledged before me
this�day of 20�a by this-- F day of 20�()by
Name of person making statement. Name of person making statement.
PersonallKnown OR Produced Identification `� Personally Known OR Produced Identification
Type of I en " ation Type of Iden�i e§tion n
Produced Produced ' NA
(Signature of Nota Public-State of Florida) (Signature of Nota ublic-State of Florida)
Commission ,�0MB.HUI NRfiY Commi V` AUDREY B.HUMPHREY Re )
t: MY COMMISSION#GG 300817 :*r , `tOA#GG 3008
EXPIRES:March 6,2023
mu Notary Public Underiters P, F. Bonded TRu Notary Public U ers
REVIEWS RVISOR PLANS Vhk3t I A I IUN bLA WKILEMANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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