HomeMy WebLinkAboutBuilding Permit ApplicationF rl
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u u
Date: a. Permit Number: kyc)
01T. ICI aIE "i RECEIVED
JAN 0 5 7010
Building Permit Application
Permitting Department
Planning and Development Services Lucie County
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED, IMPROUEM=ENT LOCATION „-Backyard
Address: 7604 Coquina Ave, Fort Pierce, FL 34951
Property Tax ID #: 1301-607-0223-000-9 Lot No.2
Site Plan Name: 7604 Coquina Residence Block No. 79
Project Name: New Fence
DETAILED-'DESCRI,PTION OF WORK; -
Building approximately 295 liner feet of 6-foot white aluminum fencing.
Including two 6-foot-wide gates and one 5-foot-wide gate (location shown on site plan).
New Electrical Meter. Second Electrical Meter
CONSTRUCTION,INFO.RMATION ,
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: $ 2,500 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEEe', ;f ., .
�CONTRACT.OR `
Name Manuel Leonor
Name:
Address: 7604 Coquina Ave
Company:
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No. (772) - 353 -2052
Address:
City: State:
Zip Code: Fax:
Phone No
E-Mail: manuelleonor1998@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail
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.
.1
SUP RLEME'NTAC`CONSTRU'CTI'ON LIEN LAW,INFORIVIATIOIV
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF .s-t.. Lode
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
_ Physical Presence or Online Notarization
this 5 day of 2024\ by
this day of 12020 by
Name of person making statement.
Name of person making statement.
/
Personally Known OR Produced Identification r/
Personally Known OR Produced Identification
Type of Identificat
Type of Identification
ProducedL, fl L...
Produced
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(Signature of Notar fFlarida L
(Signature of Notary Public- State of Florida )
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s`"••••e�;_ AUDREYB.HUMPHREY
Commission No. ._ = MYCOP19fiiON GG 300817
Commission No. (Seal)
EXPIRES: Marc116,2 0.13
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