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All APPLICABLE INFO MUST BE PLETED FOR APPLICATION TO BE ACCE�_. �a ,(�
Date:,���0 Permit Number: �0jtJ ' Q zM
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Coma-herCial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Gary- Franklin
P,ROPOSED,IMPROVEMENT, LOCATIOW .
Address: 5223 Palmetto Drive, Fort Pierce. Florida 34982
Property Tax ID #: 3402-606-0045-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION F. WORK:: .
Install Fence around the back of the property to the back of the house.
Lot No.46,47,48,49
Block No. 5
_Mechanical _ Gas Tank Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers Generator —.Roof Pitch
Total So. Ft of Construction: Sq.- Ft. of First Floor:
Cost of Construction: $ 6,400 Utilities: _ Sewer Septic
Building Height: 6'
OWNER/LESSEE : °
- CONTRACTOR:.. . .
NameGary Franklin
Name:
Address:5223 Palmetto Drive
Company:
City: Fort Pierce, Florida State:
Address:
Zip Code: 34982 Fax:
City: State:
Phone No. 772-528-2783.
Zip Code: Fax:
E-Mail:9frank26@gmail.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 HAVC 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. 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. if you intend to obtain financing, consult
with Fender or an attornev before commencing work or recording your"Notice of Commencement.
r-
ign e o Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St. Lucie
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
thi day of (,-), 2020 .by
:Physical Presence or Online Notarization
this day of , 2020 by
Name of ;Mn making statement.
Name of person making statement.
\\
Personally Known OR Produced Identification y
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Pro-6ticed
Produced
ign ture of Notary Public- SWate of Florida)
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20