HomeMy WebLinkAboutBuilding Permit Application & drawingAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Fence Installation
PROPOSED IMPROVEMENT LOCATION:
Address: 4810 Myrtle Dr
Property Tax ID #: 3402-608-0150-000-5
Site Plan Name:
Project Name: Russell Maxwell
I DETAILED DESCRIPTION OF WORK:
Installing approximately 210' of 6' Wood with 1 48" walkgate and 1 10' double gate
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
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 2300 ,00
Sq. Ft. of First Floor:
Residential Yes
Lot N o. 6
Block No. 43
Windows/Doors _ Pond
_ Roof Pitch
Utilities: _Sewer _Septic Building Height:
OW N ERAESSEE:
CONTRACTOR:
Name Russell Maxwell
Name: Kathryn Katz
Address:4810 Myrtle Dr
Company: Veterans Fence Contractors, Inc.
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone N .772-336-8095
Address:1652 SW La Gorce Ave
City: Port St Lucie State: FL
Zip Code: 34953 Fax:
0M N o 772-336-8095
E-Mail :
r
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail KathrynK89@hotmail.com
State or County License 31485
It 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:
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 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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Signature of Owner/ Lessee/Contractbir as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FL RInA
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this Iti'm day of F:tb 2011by
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this Id6i day of 10 2021L by
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