HomeMy WebLinkAboutBuilding Permit Application All 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
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT TYPE:Fence ~�
PROPOSED INPROVEMENT LOCATION:
Address: 6004 Papaya DR., Fort Pierce,FL 34982
Property Tax ID#: 3402-610-0576-000-4 Lot No.08
Site Plan Name: INDIAN RIVER ESTATES-UNIT 09-BLK 89 LOT 8(MAP 34/12S)(OR 3861-1390) Block No. 89
Project Name:
DETAILED DESCRIPTION OF WORK:
Installing 234'of 5'black chainlink fence with two 5'gates and one doubke 8'gate
FC—ONSTRUCTION INFORMATION: T ��
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 243 Sq.Ft.of First Floor:
Cost of Construction:$4410.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJoyce Reinhardt Name: Mark Seguin
Address:6004 PAPAYA DR Company: A Quality Fencing, Inc.
City: Fort Pierce Stater Address: 105 East easy street
Zip Code: 34982 Fax: City: Fort. Pierce, FL State: FL
Phone No.772-318-9510 Zip Code: 34982 Fax:
E-Mail: Phone No772-252-4907
Fill in fee simple Title Holder on next page(if different E-Mail aqualityfencing@gmail.com
from the Owner listed above) State or County License 26866
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC 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 your paying twice for
improvemen s to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the JWJst inspection. If you intend to obtain financing,cons It with lender or an attorney before
commeotft wft or recoroing your Notice of Commencem t
Signatuk of Owner/Lessee/Contractor as Agent for Owner Signatdna of Contractor/License Holder
STATE OF FLORIDA,-. STATE OF FLORIDA
COUNTY OF L � .Luc r_ COUNTY OF �.L"-,.-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 01 day of I e-i! 2911 by this�day of f-eXi L 11 209I by
l lrx 1 Ir 41 (6ab(i c
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 Produced
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(Signature of Notary ublic-State of Florida MOM (Signature of Notary blic-State of Florida
4H -7950P- G$ ELLE HICKS 1-I 1•I �950�
Commission No. •O"r""'��, Y'P ►. GA�R1F LE HICKS
Notar lic-State of Florld ommission No. �`� '''Notar State of Florida
•S Commission# HH 79502 =+ •= Commission # HH 79502
Expires
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DATE
RECEIVED
DATE
COMPLETED
1ev.9/26/18