HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 f �n
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Permit Number: l 9oC
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Building and Code Regulation Division a'e Cepa
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2300 Virginia Avenue, Fort Pierce FL 34982 � ty aft
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED INPROVEMENT LOCATION:
Address: 3026 NW Radcliffe WAY
Property Tax ID #: 4425-703-0013-000-9 Lot No. 8
Site Plan Name: RIVERBEND (PB 67-36)- LOT 8 (OR 4020-1489) Block No.
Project Name: Fence Installation
DETAILED DESCRIPTION OF WORK:
Installing 208 ft of 4 ft height aluminum fence and three 5 foot
106 feet in back of house, 64 feet on left side of house, 18 ft in front of house on left side and4L0 Von right side
Gates = ( one in the back and two in the front) � Q a 0Q� o,
Additional work to be performed under this permit -check all that apply:
Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 208
Cost of Construction: $ 5792
_Gas Piping _Shutters
—Sprinklers _ Generator
Sq. Ft. of First Floor:
— Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Mark DICado
Name: Mark Seguin
Address-3026 NW Radcliffe WAY
Company:A Quality Fencing, Inc.
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No.772-214-6337
Address:105 East Easy Street
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No 772-252-4907
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 License26866
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
H 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 TITLEHOLDER: _ Not Applicable
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
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 the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commengina work or recording vour Notice of Commencement.
J..
Signati1re of Owner/ Lessee/Contractor as Agent for Owner
Signatlire of Contractor/License Holder
STATE OF FLORIDA,—,,STATE
OF FLORIDA
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COUNTY OF c. l .ut : p
COUNTY OF `
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The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this_Z_4edayof _"AL 20_gby
this-Led�ayof F449-
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced identification
Personally Known O
Produced Identification
Type of Identification
Type of Identification
Produced "
Produced
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(Signature of Notary Putilic- S
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