HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: CF4 .0
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 INPRQVENEENT'C13CATIQN-
Address: 6107 Bamboo DR., Fort Pierce, FL 34982
Property Tax ID #: 3402-610-0495-000-2
Site Plan Name: INDIAN RIVER ESTATES-UNIT-09- BLK 86 LOT 35 (MAP 34/12S)
Project Name:
Installing 14' of PVC and 43' of wood fence with one 6' PVC gate
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 57
Cost of Construction: $ 1874.00
_ Generator
Sq. Ft. of First Floor:
Lot No.35
Block No. 86
Windows/Doors
Roof Pitch
Utilities: —Sewer —Septic Building Height:
NameJeff Zarba
Address:6107 BAMBOO DR
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No.772-557-1655
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Mark Seguin
Company: A Quality Fencing, Inc.
Address: 105 East easy street
City: Fort. Pierce, FL State: FL
Zip Code: 34982 Fax:
Phone No772-252-4907
E-Mail aqualityfencing@gmaii.com
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.
EER: Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
Zip: Phone:
Not Applicable
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
improvem is to your property. A Notice of Commencement must be recorded and posted on the jobsite
before th irst inspection. If you intend to obtain financing, constr(, with lender or an attorney before
comrile c g work or recording your Notice of Commencement. I'
SigNtilre of Owner/ Lessee Contractor as Agent for Owner
Sin ure of Contra or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF `.I,.
COUNTY OF 54 . c-ucZ-e—
The forgoing instrument was acknowledged before me
The for oing instrument was acknowledged before me
this � day of f� iA� 1 2Gb� by
this 0 day of M j4- 20.21 by
Name of person making sstt ment.
Name of person making statement.
Personally Known V OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Pu '
(Signature of Notary F
-
Commission No.
�,'%"11 '�6 GABRIELLE HICKS
Commission No. :r %,Notary i -State of Florida
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Notary -State of Florida
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