HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/6/2017 Permit Number:
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 xx
PERMIT APPLICATION FOR: Fence
Address: 124 SE Lucero Dr River Park Port St Lucie FI 34983
Legal Description: River Park Unit 7 Block 71 Lot 4 (map 34/285)(OR 3393-1153)
Property Tax ID#: 341955001270001 Lot No.4
Site Pian Name: Block No. 71
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DES'CRIPTIC►NrOP,blORK
Install approx 93ft of 6ft high wood stockade fencing along the rear property line and 40ft of fence on
left (east) side property line then 10 ft of fence from the rear of house and install!2 5ft gates (20ft total),
Fence will be 6in in from property line, Sketch attached.
CQNSTRUCT(QN INfORIaTION �
nitiona work to e performed under this permit—check a appy:
1HVAC Gas Tank []Gas Piping _Shutters M doves/Doors
Electric 0Plumbing OSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ Utilities:l]Sewer 0 Septic Building Height:
01NNER/LESSEE ;, Y =t E'4Y>CONTRACTOR,i
NameJohn M Mackanics Name: homeowner
Address:124 SE Lucero Dr Company:
City: Port St Lucie State:Ff Address:
Zip Code: 34983 Fax: City: State:
Phone No.772-236-0251 Zip Code: Fax:
E-Mail:marblez@hotmail.com Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SIJPPL�IUIENTAL CN$TRUCTI'QN L{EN LA1Nr{NFC3RMATION x , E
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DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: ;x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: ;X Not Applicable
Name: Name:
Address: Address: I
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
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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 roams and accessory uses to anotherinon-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
toinmenciri work'&recordin our'Notice'6 -Comrrietncerrierit.
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Si ore oi Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
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STATE OF FLORIDA \ - STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing in ment was acknowledged before me The forgoing instrument was acknowledged before me
thisday o 20 Iaby this day of I .20 by
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(Name f person acknowledging) (Name of person acknowledging)
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RbGc- atue.of.Notary -.S e.of.Florida.)..(Si tore €Notaryu
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
CYI& a -X13 L4� , I W I . 1
Commission No. (Seal) Commission No. (Seal)
, , LASHAHNA INGRAM
Revised 07/15/20 ;a,P �4<<' Notary Public-State of Florida
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Commissi n#F 9
REVIEWS FR N' fthrough N§ 5I PLANS VEGETATION SEATURTLE MANGROVE
CO REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS