HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 0,50'
Date: 01-20-2021 Permit Number: �V '
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Building Permit Application JAN'2,5 zoz1
Planning and Development Services Permitting L)
Building and Code Regulation Division Commercial Residential St.tms� Coun7ent
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
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PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION
. �.n n■ar.rr �� rrru rrir+r rnwnon
Address: `t I r v rvi 1 r% I L- L,41%9 I i r
Property Tax ID #: 3402-608-0087-000/2
Site Plan Name: INDIAN RIVER ESTATES -UNIT 7
Project Name: V WOODEN PRIVACY FENCE
DETAILED DESCRLPTION-OF WORK:'1_
56 FT OF 6 FT WOODEN PRIVACY FENCE —STARTING AT NORTHEAST CORNER OF PROPERTY LINE
Lot No. 12
Block No. 40
CONTINUING WEST ALONG PROPERTY LINE FOR APPROX. 56 FT. MAP WITH LINE ENCLOSED.
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:
Cost of Constructio $ 1 . 17 o
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
°CONTRACTOR:
-.44
NameSTEPHANIE L REEVES
Name:
Address:4710 MYRTLE DR
Company:
City: FT PIERCE State: _
Address:
Zip Code: 34982 Fax:
City: State:
Phone No.772-971-7856
Zip Code: Fax:
E-Mail:RSTEPHCOOL AOL.COM
Phone No
Fill in fee simple Title Holder on next page ( if different
E-Mail
from the owner listed above)
i
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION J
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:
I
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 attornev before commencing work or recording your Notice of Commencement.
of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 57, Luct 1= I COUNTY OF
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Physical Prewce or Online Notarization Physical Presence or Online Notarization
this day of l.i t/ 2929 byj� this day of , 2020 by
2DL1 (gcles
Name of person making statement. Name of person making statement.
Personally Known _ Y/ OR,Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced_ I % i Produced
(SignWure of "d` (Signature of Notary Public- State of Florida
JENNIF )
►u4t' . L. GILES
' .,,: MY COMMIS NGG 9t327t33
Commission No. .� Commission No. (Seal)
,; EXPIRE A, 2024
'• WRAC '� Bonded Thru Notary PuDllc Underwrltere
REVIEWS FRONT ZONING SUPERVISOR PLANS I VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED