HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
'COUNTY
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: 5305 hummingbird Way., Fort Pierce,FL 34951
Property Tax ID#: 1301-602-0041-000-4 Lot No.15
Site Plan Name: LAKEWOOD PARK-UNIT 2-BLK 12 LOT15(MAP 13/11S) Block No. 12
Project Name:
DETAILED DESCRIPTION OF WORK:
Installing 338'of 6'wood fence with one 5'gate and one 4'gate
CONSTRUCTION INFORMATION:
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: 338 Sq.Ft.of First Floor:
Cost of Construction:$ 8612.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameTania Kinney Name: Mark Seguin
Address:5305 Hummingbird Way Company: A Quality Fencing, Inc.
City: Fort Pierce State:FL— Address: 105 East easy street
Zip Code: 34951 Fax: City: Fort. Pierce, FL State: FL
Phone No.772-882-8369 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$2SW 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
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before th first inspection. If you intend to obtain financing,considt with lender or n attorney before
commeiOng work or rec rding your Notice of Commenceme t.
F.4"X. r A
Sig at f
re of Owner/Lessee/Contractor as Agent for Owner Si at a of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF � Lua, COUNTY OF
The for oing instrument was acknowledged before me The for oing instrume t was acknowledged before me
this day of n r4-1 ,20,91 b this / day of "(4-/ 24 L by s
Name of person making statement. Name of person making statement.
Personally Known `--- R Produced Identification Personally Known -----OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary P blic-State of Florida) (Signature of Notary Pu GA R I E LLE HICKS
-
Commission GA &LLE HICKS Commission No. %Notar o-State of Rlotid
Commission No. •' �'' No tar u o-State of Florida • Co on N HH 7®502
•= Commission # HH 79502 My Commlo9►en K Irp�
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REVIEWS FR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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