HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNtL, Permit Number:
BY
St. Lucie Cn, m,,
REM �d
•-_- — --- Building Permit Applicati n NOV 0 8 2019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:
PROPOSED INPROVEMENT LOCATION:.
Address: 5514Spruce Drive
Property Tax ID p: 3402-610-0093-000-4
Lot No. 10 & 11
Site Plan Name: INDIAN RIVER ESTATES -UNIT W. EILK 73 LOTS 10 AND 11 (MAP 34111N) Block No. 73
Project Name:
DETAILED DESCRIPTION OF WORK:
Installing 164 feet of 4 foot high black chain link fence with two 5 foot self dosing gates
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _Gas Tank _Gas Piping
_ Electric —Plumbing
Total Sq. Ft of Construction: 164
Cost of Construction: $ 3032.00
_ Sprinklers
—Shutters
_ Generator
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:.
NameJohn C Landry
Name: Mark Seguin
Address:5514 Spruce Drive
Company: A Quality Fencing, Inc.
City: Fort Pierce State: ,FL-
Zip Code: 34982 Fax:
Phone No, 772-348-1310
Address: 105 East easy street
City: Fort. Pierce, FL 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 License 26866
If value of construction is $250D 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:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Nat Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws Oran Scovenants 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 concurrencV 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 ;�jjrst inspection. If you intend to obtain financing, consult with lender or an attorney before
commenciHg work or recording vour Notice of Commencement. A
SIgnat# of Owner/ Lessee/Contractor as Agent for Owner
Signatur of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF F . t r e
COUNTY OF Luc,. e
The forgoing instrument was acknowledged before me
The forgoing instrume t was acknowledged before me
thnis=day of N104 20_a by
this day of I -A'ON 20J1 by
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_ e( le l cis
�i'f�t=� e� l-e- c_I-.
Name of person making statement.
Name of person making statement
Personally Known OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Id ntification
Type of Identification
Produce
Produced
.psi t" . GABRIELLE HICKS
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GABRIELLE HICKS
' MYCOMMISSION#GO
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(Signature (9t�o a wary 701 I
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(Signatureof Notary Public- ', i,;(drBdol ThmN;A3yPul*
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Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
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RECEIVED
COMPLETED
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Rev.9/Z6/18