HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r
Date: 03/17/2021 510 Permit Number:
ST. LUC15�
�. __. P ,
_ ... Building: ermit Application
_
Planning and Development Services_ _ __
Building-and'CodeRegulation Division' COi1lmeeC'ial " ' ReSide': l
--
2300 Virginia Avenue,Fort Pierce-FL 34982
Phone: (772)-4624553 Fax: (772)462-1578-
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address:' 5910 BIRCH DRIVE;•:FORT PIERC.E,,FL+34982
Property Tax ID#: '125454' 3 �ar�'. —'blbf :. .: Lot No::4.. :,}
5910 BIRC =;BOUND'RY•SURVEY, .
Site Plan Name: ;+:- L: :Block No 69.
Project Name: VINYL FENCE _.
DETAILED DESCRIPTIOWOF°WORK:'
TEARDOWN AND REMOVAL OF.OLD,.W.00DEN:'FENCE AND SRE .,LACE..WITH:NEW
-6-FOOT VINYL FENCE WITH 1 GATE, TOTAL OF 262':S LINEAR FEET.' �` -+'
AND 1 WIRE FILLED 12' GATE. ,
New Electrical Meter " ""Second Electrical Meter"
F
CONSTRUCTION INFORMATION:
Additional,work-tobe performed under.this permit-check all that apply:
—Mechanical _Gas Tank - _`Gas'Pi m Shutters ',i _Windows/Doors - !Pond
Electric. -_ _.Plumbing.__.._._ ,_Sprinklers-,-- . ___ Generator_ =.Roof_ . Pitch
Total Sq. Ft of Construction: 1 1 'uAi011 �' 'Sq. Ft. of First Floor:
Cost of Construction': lU( . Utilities:" "_Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name- CHRISTOPHER SHEFFIELD-
Address: 5910 BIRCH ORIVE Company:'-=>�,.r..
City: FORT PIERCE __... State: Address:
Zip Code: 34982 City Stake:
Phone,No.,772-34276697 Zip Code: Fax: -
E-Mail:•Sheffieldcs0,91.6Rgmail'.c6m: : ,,; ` -
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.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable -
Name: Name:
Address: Address: _
City: State City State
Zip: Phone Phone: ;"- LL,... . -.. . . .. r.
FEE SIMPLE TITLE HOLDER::.,; .X. Not Applicable BONDING.COMPANY:.. X 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'.
certify that no work or installation has commenced prior to the issuance of a perr`riit.`•
St. Lucie County makes no representation that is granting a permit will authoriiethe permit holder'to'kuild.thesubject 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 whtch:may a.pply..
In consideration of the grariting of"thi"s'requested'permit;I do hereby'ag-eetha0a will;r all:respects,perforin,the work
in accordance.with_the approved plans,the Florida Building Codes a'nd!St:Luue�County'Amen ments:`
The following building permit applications are exempt from undergoing a full concurrency review:room additions;
accessory"structures;swim_ ming pools,f_ences_,-w_alls;_`signs;s_cr'een rooms brie!accessory"uses to another non=residential use
WARNING TO OWNER:Your failure to Reco
rd a Notice of Commencemeftmay 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'postedain:the jobsitia before the first"inspection.ilf you inten`d,to;.obtain financing;"consult
'with-lender or an"attorne before.commencin work or recordin _. .our Notice ofCorrimencement.. -
Signature-of Owner/Lesse l ontractor as Agent for Owner Signature:of Contractor/License-Holder
STATE-OF FLO .I A -" -STATE OF FLORIDA
COUNTY OF ST Lu Ca Q_ COUNTY OF !
Sw rn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Ph sisal Presence or_ Online Notarization'`' ` " Physical Presence'or' Online Notarization's''
this /day of Marc :.ai lby _� 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- -
gnatur, f Nota I FuI tote or Fiala (Signature of Notary Public:,State of Florida)
Y�
- Jerolynn K
'COmmISSton No. My C e HAl H 052377 (Seal)
�}+ Commission.No. f
C - ww res 101112024.. ..._ _.. t.
RE'VIESAIS.� _ FRONT ZONING -SUPERVISOR' PLANS-- VEGETATION: SEA TURTLE -,MANGROVE"
CO_ UNTER REVIEW REVIEW.- '� + REVIEW REVIEW '' ". '• VIE_:PREW : `REVIEW .
r`r -
=` 'DATE=�~.`
-.RECEIVED -
DATE
.COMPLETED. _.___....-_.__