HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLIj A$LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
SCANNED
BY
St. LuceCnl)ntll
Building Permit Application RECE p
Planning and Development Services AUG 2 g 9019
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982 ST, Lucie County, Fern.
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: Fence
P QPtJS IMPR sUEAIIEETL#}C7Til0
Address: 330 NE SOLIDA DRIVE PORT ST LUCIE, FL
Property Tax ID #: 3419-570-0007-000/6 Lot N0.29
Site Plan Name: DEBORAH DIXON Block No. 72
Project Name: DIXON FENCE JOB (POOL)
ADnroximately 195' feet of (TWond Fence with nne 5' walk
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_Electric _Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 1900.00
_Sprinklers _Generator
Sq. Ft. of First Floor:_
_ Roof Pitch
Utilities: _Sewer _Septic Building Height:
OW E / ESS�E:
C�3NT C t�R�
NameDeborah A. Dixon
Name:Aldo Duguay
Address:6304 LaSalle Road
Company:D-Fence Enterprises, Inc.
City: Delray Beach State: _
Zip Code: 33484 Fax: NONE
Phone No.561-768-1090
Address:2303 SW Kent Circle
City: Port St Lucie State. FL
Zip Code: 34953 Fax:
Phone N0561-768-1090
E-Mail:dfenceent@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Maildfenceent@gmail.com
State or County License29784
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.
DESIGNER/ENGINEER:
X 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:
Applicable
Name: Deborah A. Dixon
Name:
_Not
Address: 6304 LaSalle Road
Address:
City: Delray Beach, FL
City:
Zip: 33484 Phone:772-631-7466
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT-"
Sig ature of Own / Lesse f ontractor as Agent for Owner
Signatur of Contrac or/Lic se Hold
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St Lucie
COUNTY OF St Lucie
The fo oing instrument was acknowledge, before me
The f r g instrument was acknowledgeflJgefore me
this 6 day of August
20 by
this la of August 20 /``7ryby
Aldo R Duguay
Aldo R. Duguay
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification -
Personally Known OR Produced Identification
Type of Identificati n ,,Vgy vue,, TAMMY LYNN DUGUAY
Type of Identific Ion
Produced 2° -
O mmissioN#FF972176
Produc d
r
o EXPIRES: June 12,2020
yr
41Budget
Notary SBlNC8a
LYNN DUGUAY
0
ION # FF 972176
(Sign a of Not Pu ic-
ori
of da)
gn re of No ary u o une 12, 2020
or Fl onded Thiu get Notary Services
Commission No.
(Seal)
Commission No. (Seal)
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