HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONul
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (}
Date: a' C°I SCANNED Permit Number: Cl b br
BY
�+ Lucie Coun
• ry RF�EtVFo
Building Permit Application PJUN12&IS
er
Planning and Development Services mittin
Building and Code Regulation Division St. Lu 9 Co Brt
2300 Virginia Avenue, Fort Pierce FL 34982 unty!bent
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMITTYPE: Fence Installation =
PROPOSED INPROVEMENT LOCATION`.
Address: 2243 North 25th Street
Property Tax ID q: 1432-441-0000-000-5
Site Plan Name: Texaco
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
Installing 82 feet of 6 foot wood (board on board) fence with on 16' double gate around Equipment
Compound
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 82
Cost of Construction: $ 2389.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:_
OWNER/LESSEE:
CONTRACTOR:
Name_-U%�-'a
Address:
Name: Mark Seguin
Company: A Quality Fencing, Inc.
City: State:
Zip Codes3q'74-�P_ Fax:
Phone No._ ext. I -
E-Mail:
Address: 105 East easy street
City: Fort. Pierce, FL State: FL
Zip Code: 34982 Fax:
Phone N0772-252-4907
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
it value of construction is 5Z5UU or more, a RECUHDED 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 TITLE HOLDER:
Name:
_ Not 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 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
commencingwork or recording our Notice of Commencement.
A2
Signat re Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Hol er
STATE OF FLORIDA
COUNTY OF ( e
STATE OF FLORIDA
COUNTY OF- Lvr�1
The forgoing instrument was acknowledged before me
� this day of Cr20 n by
The forgoing instrument was acknowledged before meTul
this l l day of TCt n e 20la by
•G
11
�V`c�i e� l� f-t-iCk.�S
ame of person making statement.
Name of person making statement.
ersonany Known _LZOR Produced Identification
Personally Known _ICR Produced Identification
ype of Identification
roduced
Type of Identification
Produced
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(Signature of Notary Public -State of Florida)
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" Signature of Notary Public -State of Florida)
ommission No. Uc> bci 1 (Seal)
Commission No. P=G 009 0q7 (Seal)
H
N
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGRO
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.9/2b/18