HomeMy WebLinkAbout5701 Buchanan Drive Fence Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ICCEPTED
Date: ermit Number:
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U U, ° ° Building Permit P pplication
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
XXX
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 5701 Buchanan Drive
Property Tax ID #: 3402 - 603 - 0005 - 000 - 9 Lot No. 30 and 31
Site Plan Name: Indian River Estates Block No. 6
Project Name: Fence Buchanan Drive
DETAILED DESCRIPTION OF WORK:
Wood fence 6 foot tall gate placement two gates in front and one gate in
New Electrical Meter Second Electrical Meter.
CONSTRUCTION INFORMATION:
the linear footage is 400 liner footage
Additional work to be performed under this permit– check all that a ply:
Mechanical Gas Tank —Gas Piping _ Shul ters _ Windows/Doors — Pond
Electric _ Plumbing _ Sprinklers _ Ge ierator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of first Floor:
Utilities: —Se er _Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Robert Dumont
Name:
Compa
Address:
City:
Zip Code:
Phone IN
E -Mail
State or
Address: 5701 Buchanan Drive
y:
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No. (772) 370-6308
State:
Fax:
o
E -Mail: bdumont63@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
County License
If value of construction is Z5uo or more, a KtLUKUtU 1vOi1Ce Or l.OMMUl7Ge Hent iyuu cu.
if value of HAVC is $7,500 or more, a RECORDED Notice of Commencemen is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMAT
ON:
DESIGNER/ENGINEER: — Not Applicable
Name:
MORTGAGE
Name:
Address:
City:
Zip:
COMPANY: _ Not Applicable
Address:
Signature of Owner/ Lessee/Con ctor as Agent for Owner
City: State:
Zip: Phone
State:
Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING
Name:
Address:
City:
Zip:
COMPANY: Not Applicable
Address:
COUN
City:
Zip: Phone:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtaa permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of permit.�
St. Lucie County makes no representation that is granting a permit will author
which is in conflict with any applicable Home Owners Association rules, bylav
structure. Please consult with your Home Owners Association and review yoL
In consideration of the granting of this requested permit, I do hereby agree tl
in accordance with the approved plans, the Florida Building Codes and St. Luc
The following building permit applications are exempt from undergoing a full
accessory structures, swimming pools, fences, walls, signs, screen rooms and
WARNING TO OWNER: Your failure to Record a Notice of Commen
improvements to your property. A Notice of Commencemer
Lucie County and posted on the jobsite before the first inspe
++hofnro rr,mmAnrina xninrk nr rain
e thepermit holder to build the subject structure
or and covenants that may restrict or prohibit such
deed for any restrictions which may apply.
t I will, in all respects, perform the work
County Amendments.
Dncurrency review: room additions,
ccessory uses to another non-residential use
!ment may result in paying twice for
must be recorded in the public records of St.
Jon. If you intend to obtain financing, consult
ling vour Notice of Commencement.
Rev.S/b/ZU
Signature of Owner/ Lessee/Con ctor as Agent for Owner
Signature
of Contractor/License Holder
STATE OF FLORI
STATE
F FLORIDA
COUNTY OF '
COUN
OF
Sw rn to (or affirmed) and subscribed before me of
Sworn to
(or affirmed) and subscribed before me of
7 Physical Presence or Online Notarization
Ph
ical Presence or Online Notarization
this 2- day of C-)C±C y�P' 2020 by
this
day of .2020 by
-
Name of
erson making statement.
Name of person making statement.
Personally Known OR Produced ldenti4ha&m4 zPersonal
Known OR Produced Identification
Type of Identification n —�
Type of 1
entification
Produced mo o
Produce
��
(Signature of Notary Public- St t of Florida) c � ?5
(Signatu
e of Notary Public- State of Florida )
Commission No (Seal) A
Commis
ion No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.S/b/ZU