HomeMy WebLinkAboutBuilding Permit Application `U1 us Cl) 6
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I p
Date: Permit Number: 151 os
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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 Residential X
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT;LOCATIO:N:
Address: 4703 Buchanan Dr.
Legal Description: Indian River Estates-Unit-04-BIk38-, Lot 9 (map 34/02N) (or 3735-717
Property Tax ID#: 3402-605-0123-000-8 Lot No.9
Site Plan Name: Indian River Estates Block No.,38
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED"DESCRI.PTION OF WORK .
Wood Stockade Fence 6,''high
one gate with pool child-proof gate closure.
Approx. 11q total feet
CONSTRUCTI_ONr INFORMATION:
Additional work toe performed under this permit—check a appy:
HVAC0 Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
�
Total4p. Ft of Construction: �R S . Ft. of First Floor:
Cost of Construction:$ 2 00 Utilities:Cn Sewer 0 Septic Building Height:
OWNER/LESSEE.- CONTRACTOR:
Name Federal National Mort.Assoc. Name: Judy Davis
Address:PO Box 650043 Company: Atlas Fence of FI Llc.
City: Dallas State: Tx Address: 805 Kaufman Ave
Zip Code: 75265 ;;;Fax: City: Fort Pierce State:FI
Phone No. Zip Code: 34950 Fax: 772-318-7099
E-Mail: Phone No. 772.461-6190
Fill in fee simple Title Holder on next page(if different E-Mail: Judydavisfl@hotmail.com
from the Owner listed above) State or County License: 27066 -
If value of construction is$2500 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 TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 thepermit 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
commencing work or recording our Notice of Commencement.
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_Signature of Owner/Lessee/Agent Sig ure of Contractor/License Holder
STATE OF FLORIDA l,. STATE OF FLORIDA
COUNTY OF COUNTY OF
The for oing ins Ment was acknowledged before me The forgoing instr ent was acknowledged before me
this day of 20 IS-by this day of 20 by
(N a of person nowledging) (Name of persona nowledging)
( gn ture of Notary Pu lic- to of Florida) i tur of Notary Public-State f Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
T e,\Q�\f\Iden}\k\i\fi\cation Produced Type of Identification Pro jill d
Commission No. Commission No. ° °°� (S� HNA INGRAM ��
aY�o AHNA INGRAM k0Y.,01. Notary public,;tate f
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Commission #FF 177249
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Revised 07/15/201 '�F°}F�° Bonded through National Notary Assn. `� 9h National Notar
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