HomeMy WebLinkAboutBuilding Permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
°D 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
CBDG Funding
Residential X
PERMIT APPLICATION FOR: Fence Replacment and New Gate for new driveway
PROPOSED IMPROVEMENT. LOCATION:
Address: 8521 Hidden Pines Rd, Fort Pierce, FL 34945
Property Tax ID #: 2323-701-0018-000/9 Lot No. 3
Site Plan Name: Block No. B
Project Name: Letzelter Drive Gate
OETAI,LED ;Q,ESCRIPTION'OF-WORK:
Remove exisiting 4' chain link fence and remaining 4' gate pannel. Install new 6' wooden privacy fence
with one single swinging man gate and a double swinging driveway gate. Driveway gates to 7' in
lenght and 6' in height. All fence post will be 6"x6". 6J,9 919- 10 W 11Q /
New Electrical Meter Second Electrical Meter
I. CONSTRUCTION" INFORMATION: ;
(Affidavit required)
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ $1,800.00 Utilities: —Sewer —Septic Building Height: 6'
OWNER/LESSEE... .:: ` .<
CONTRACTOR: ' .
Name Philip T Letzelter
Name:
Address: 8521 Hidden Pines Rd
Company:
'City: Fort Pierce State: FL
Zip Code: 34954 Fax:
Phone No. 561-704-5775 E-
Address:
City: State:
Zip Code: Fax:
Phone No
Mail: Letz4357Ccr�gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail
State or County License
If 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.
:S'UPPLEMENTAL CONSTRUCTION, LIEN LAW-INFOWATION:
DESIGNER/ENGINEER: X_ Not Applicable
Name:
MORTGAGE COMPANY: X— Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _X_— Not Applicable
Name:
Address:
City:
BONDING COMPANY: XNot Applicable
Name:
Address:
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 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
improvements t your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Country angposted on the jobsite before the first inspection. If you intend to obtain financing, consult
niftNende or a attorney before commencing work or recording your Notice of Commencement.
S nature of Co ac or - Owner Builder as applicable
STATE OF FLORID
COUNTY OFF # g
Sworn to (or affirmed) and subscribed b ore me of
Physical Presence or Online Notarization
this da 2 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification Produ d
( ig at re o ary Public- State 63 Florida)
Commission No. (Seal)
LASHAHNAINGRAM RAHMING
MY COMMISSION # GG 275060
••�oFF �Q.••,Boukd7bruNotary
Pubic u
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Rev 10/12/21