HomeMy WebLinkAboutJob 39 fence permitI/
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/23/21 Permit Number:
0 ,, Ll! GLL
CO'J V
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:6 ft. wood fence
PROPOSED IMPROVEMENT LOCATION:
Address: 5728 saint lucie blvd Fort Pierce FL
Property Tax ID ##: 1325.444.0003-000-6
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Installing 204 ft. of 6ft wood fence per submitted layout
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
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:
Cost of Construction: $ 3500
_ Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Florida Land And Farm Holdings Inc
Name: Michael Waldrop
Company: innovation contracting
Address: 233 SW Whitmore DR
City: Port St Lucie State: _
Zip Code: 34984 Fax:
Phone No. E-
Address: po box 3747
City: fort pierce State: FL
Zip Code: 34948 Fax:
Phone No 772-519-9108
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail Mwaldrop@innovationcontracting.com
State or County License CGC1511910
It 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:
DESIG ENEN R/ENGINEER: _ 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: _Not Applicable
Name:
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 paying twice for
improvemen,t909 your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Counor Ind posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with Len an attorney before commencing work or recording your Notice of Commencement.
Sig ature of er/ Less ont ctor s Agent for Owner
STATE 0 IDA ,
COUNTY OF
Swor o (or affir ed) and subscribed before me of 1 Physical Presence or Online Notarization
this day of 20`4 by
99
A
(!
ent.
Name of person maki:��:
Personally Known Produced Identification
Type of Identificati oduced
(Signature of Notary Public- State of Florida)
Commission No. (&6 eal) \'
�pRYgs Rebekah Hoy
e sO NOTARY PUBLIC
_ STATE OF FLORIDA
:s Comm# GG294610
e?
xpires
/2023
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Rev 5/10/11