HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/19/2021 Permit Number: Q -- ����
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Building Pp Permit Application
Planning and Development Services
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:6 foot high wood privacy fence in backyard
'PROPOSED IMPROVEM,E'NT LOCATION
Address: 7102 Plumosa Lane
Property Tax ID#: 1301-613-0247-000-2 Lot No.6
Site Plan Name: Block No. 148
Project Name: Backyard Fence
DETAILED DESCRIPTION OF WORK 3
Put up a 6 foot high wood privacy fence in backyard on west and north side of backyard and replace 3 dilapidated fence
panels on east side of yard. Put up 10 feet of fence between east side of house to connect with east side existing fence.
Install a Oft H x 12-ft W Galvanized Steel Chain Link Fence Gate between west side of house and west side fence we are installing
New Electrical Meter Second Electrical Meter !����ls� � �
CONSTRUCTION INFORIIIATION r
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:$ 1800 Utilities: —Sewer —Septic Building Height:
OWNER/LESS'EE CO NTRACTOR
Name Donald Collins Name•N/A
Address:7102 Plumosa Lane Company:
City: Fort Pierce State:TL Address:
Zip Code: 34951 Fax: City: State:
Phone No.772-672-9955 Zip Code: Fax:
E-Mail:DonCollins@bellsouth.net 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.
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SU,'PPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: Not Ap
plicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: K Not Applicable BONDING COMPANY: Y, 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.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA n ' STATE OF FLORIDA
.COUNTY OF �S�-CC_— 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�day of �} 202f by this day of .2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced L w Produced
9 \h F1 EN VAUGHN
(Signature of Nota P P e$faF4ajo� i a- otary (Signature of Notary Public-State of Florida)
+_ Commission # GG 270079 ry
Commission No. '�jF fP: My CpSm�m�is�?n Expires
OFF.. —
F� Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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