HomeMy WebLinkAboutFT Pierce Fence Permit (2) All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/7/2020 Permit Number:
G LUC E -�
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:Fence Permit
PROPOSED IMPROVEMENT LOCATION:
Address: 3751 Virgina Avenue Fort Pierce,FL 34949
Property Tax ID#: 2420-221-0002-000-2 Lot No.
Site Plan Name: MNSP 2202025686 Block No.
Project Name: Dollar General Fort Pierce
DETAILED DESCRIPTION OF WORK:
For the use of a wooden fence surrounding a 12'-0"xl8'-0"dumpster.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
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:230 Sq.Ft.of First Floor:
Cost of Construction:$ 3,700.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: ! CONTRACTOR:
Name Haymes Snedeker Name:Ron Yaeger
Address:P 0 Box 130 Company:Fulcrum Construction Group
City: Daphne State: AL Address:810 Mand Ave
Zip Code: 36526 Fax:251-252-9898 City: Daphne State:AL
Phone No.251-243-0708 Zip Code: 36526 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 CGC1521447
Flue of construction is 2500 or more,a RECORDED Notice of Commencement is required.
lue of HAVC Is$7,800 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/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 Counter 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 Cou ty and posted on the jobsite before the first inspection. If you intend to obtain financing,consult
with I n r or an a before commencing work or recording our Notice of Commencement.
I
Signat7•e o Owner/Lessee/Contractor as Agent for Owner Signaturee of Contractor cerise Holder
STATE OF FAA �ahar,r�r�• STATE OF FL• NM larn�
COUNTY OF R. ., COUNTY OF r y Qn
Sworn to(or affirmed)and subscribed before me of S om to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this J?:L day of P1L4! 2020 by this I rl day of. 2020 by
Name of pers n making statement. Name of person ma d`` �'', �
Personally Known <K OR Produced Identification Personally Known • •' unti�ation
Type of Identification ���.•�""'��,,,� Type of Identificaj on a �,� '�r,
Produced .= SEY M,q Produced _ = a�'
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COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED__ _
[?ATE
COMPLETED
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