HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/21/2020 Permit Number:
97o r 11C fl RECEIVED
DEC 2 2 2020
Building Permit Application
Permitting Departmen
Planning and Development Services St.Lucie County
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Fence
it
PRCP05EDMR01tE(�I. NT LflCATiCtN r
Address: 5306 Echopined cir east Ft. Pierce Florida
Property Tax ID#: 1312-500-0137-000-5 Lot No.136
Site Plan Name: Block No.
Project Name:
DETI�� E7 QESR(PTIC}N CJ' WQRI :X fi
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Replacing existing ckain-link fence on rear property line only with 6ft privacy fence
New Electrical Meter Second Electrical Meter
CAN
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: 067 Utilities: —Sewer —Septic Building Height:
C1N�ERLSSEE. ;'Nek _
eoNTRAcOR
NameJeff Bentley Name:
Address:5306 Echopines cir east Company:
City: Ft pierce State:_ Address:
Zip Code: 34951 Fax: City: State:
Phone No.772 332 0354 Zip Code: Fax,:..
E-Mail: Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
Lfvae of construction is 2500 or more,a RECORDED Notice of Commencement is required.
e of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
IN�`aR(`ll��`ICJ�
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 lender or an attorney before commencing work or recording our Notice of Commencement.
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Signat a of ner Lesse Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �_ .U10,1p_ COUNTY OF
Swoyfi to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this day of leo 2020 by this day of 2020 by
��_-TEE 2u 6eke
Name of person maki g statement. IName of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identific i Type of Identification
Produced.:) Produced
(Signature c aP,y,, u I - r a EN i (Signature of Notary Public-State of Florida )
__�� Ua�:State of Florida-Notary Public
Commission Commission #Gq5�%T�84 Commission No. (Seal)
o� y ommission Expires
''�°it June 12, 2022
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DATE
RECEIVED
DATE
COMPLETED
Rev. 5