HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll 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 TYPETence
Address: 105 Easy Street Fort Pierce, FL 34982
Property Tax ID #: 3402-604-0056-000-4
Site Plan Name: INDIAN RIVER ESTATES UNIT-03- BLK 16 LOTS 2 AND 3
Project Name:
DETAILED DESCRIPTION OF WORK:
Installing 42 feet of 4foot black chain link and one 6 gate wide snd 4 feet high
Lot No.2 and 3
Block No. 16
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: 42
Cost of Construction: $ 500.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
O NER LESSEE:
CONTRACTOR:
Name Mark Seguin
Name: Mark Seguin
Address: 105 Easy street
Company: A Quality Fencing, Inc.
City: Fort Pierce State:
Zip Code: 34982 Fax:
Phone No. 772-252-4907
Address: 105 Easy street
City: Fort. Pierce, FL State: FL
Zip Code: 34982 Fax:
Phone No772-252-4907
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail aqualityfencing@gmail.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
City:
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 1 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 b recorded and posted on the jobsite
before the st inspection. If you intend to obtain financing, cons w h lender or an attorney before
comraerwing work,or record 6a vour Notice of Commencement. //
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