HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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: Fence
PR)SPOS€D IN?RQuEI'NTL9CATjIN:
- -- -
Address: 3711 PROMENADE WAY, Fort Pierce, FL 34982
Property Tax ID #: 2433-502-0043-000-0
Site Plan Name: ESTATES OF LONGWOOD LOT 43 (0.42AC) (OR 3268-1565; 3272-1245; 3765-989: 3776-463)
Project Name:
QETA101) D8i R T40N OF;k2
Installing 325' of 4' Aluminium fence with one 5' gate and one 10' double gate
CO.NtTRUCTID{al. INFORMATION:
Lot No. 43
Block No.
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric — Plumbing
Total Sq. Ft of Construction: 325
Cost of Construction: $ 8160
— Sprinklers _ Generator —Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
OWNERAPSEE:
CONTRACCOft:
Name Jeff Jensen
Name: Mark Seguin
Address:3711 - PROMENADE WAY
Company: A Quality Fencing, Inc.
City. Fort Pierce State:
Address: 105 East easy street
Zip Code: 34982 Fax:
City: Fort. Pierce, FL State: FL
Phone No.772-801-5901
Zip Code: 34982 Fax:
E-Mail:
Phone No772-252-4907
E-Mail aqualityfencing@gmail.com
Fill in fee simple Title Holder on next page ( if different
State or County License 26866
from the Owner listed above)
If value of construction is;Z500 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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DESIGNER/ENGINEER:
_ 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:
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. Lurie 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 firstAnspection. If you intend to obtain financing, consult with lender or an attorney before
commencinfEAork,or recording your Notice of Commencement. /
Owner/ Lessee/Contractor as Agent for Owner I Signature of
Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF �� L.RC=-.c'P
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this(Jn day of N4CN( , 20_a Z) by thisCY4 day of 00'14 , 21)9j� by
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Name of person making statement. Name of person making statement.
Personally Known �oduced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced
(Signature of Notary Pt
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