HomeMy WebLinkAboutBuilding Permit App All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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• R I r A —
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
PERMITTYPE:Fence
P'R(lPOSE'Q Il�IPI20U�NIEN " LOCATIO'N:
Address: 5101 Sunset BLVD, Fort Pierce, FL 34982
Property Tax ID#: 3402-608-0464-000-9 Lot No.24
Site Plan Name: INDIAN RIVER ESTATES-UNIT 07-BLK 52 LOT 24(MAP 34/02S)(OR 3850-1298) Block No. 52
Project Name:
DETAILED DESCRIP,TIP
IUN OF WORK
Installing 143'of 6'wood fence with two 5'gates
CONSTRWCTIOfy INF. RMAT,IOIV:
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: 143 Sq. Ft. of First Floor:
Cost of Construction: , 3160.00 Utilities: _Sewer _Septic Building Height:
O'1NNER/LESSEE CONTRACTOR:
Name Richard Smith Name: Mark Seguin
Address:5101 Sunset BLVD 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.772-318-9510 Zip Code: 34982 Fax:
E-Mail: Phone No 772-252-4907
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.
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DES IGNER/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 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 ' spection. If you intend to obtain financing, consult with lender or an attorney before
commenci,ng w6rk or recordirig your Notice of Commencement.
Sig ature f Owner/Lessee/Contractor as Agent for Owner Signatu a of Contrac r/Li en 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 jo2l day of �n .� 20 by this_CLc day of 'C � 20-420 by
Name of person making statement. Name of person making statement.
Personally Known V/OR Produced Identification Personally Known R Produced Identification
Type of Identification Type of Identification
Produced Produced
Signature of Notary P t^* :u�
g rY 6..5 (Signature of Notary Public- at f FI r' a
,ot�YPyc, GABRIELLE:HICKDSI ��u IELLEHICKS
Commission No. ; : MY C04MMPNCommission No. =_�'EXPIRES:Febr ;,_ MY OSSION#GG 069047
go�erf Ruv No#ary P EXPIRES:February 2,2021
,OFF .i,c .OP.•
•. o'i .•
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.9/26/18