HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUSTS 17
/BE COMPLETED:FOR APPLICATION TO BE ACCEPTED I �/�
Date: 08_— 'I l -�� �1 Permit Number: / �r 0"T
Building Permit Application
Planning and Development services JAN 2 5 2017
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
t:
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT.LOCATION: 0
Address: 4891 River Oak Lane Fort Pierce, FL. 34981
Legal Description: River Oak Estates Lot 28 (0.33 AC)(OR 3455-2244)
Property Tax ID#: 2430-502-0028-000-0 Lot No. 28
Site Plan Name: Schoen Lot Block No.
Project Name: Lot Fence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: .
�c
CONSTRUCTION INFORMATION: -Additional work toe nPrformed under tis permit-cleck all appy:
HVAC n Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric_. ElPlumbing OSprinklers F]Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: / 10� S . Ft.of First Floor:
Cost of Construction:$ �(� b Q Utilities: _Sewer 0Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
-Name -Scott-Schoen- - - Name: owner
Address: 341 SW St. Lucie Street Company:
City: Stuartr State: FL Address:
Zip Code: 34997 Fax: 772-266-8076 City: State:
Phone No. 561-262-5735 Zip Code: Fax:
E-Mail: ranchss@comcast.net 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.
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 SIMPLg TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: _ _ /! SCHp�aJ Name:
Address: SL6 S Address:
City: S?U City:
Zip: Phone: ,!Za 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 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 t your p rty.A Notice of Commencement must be recorded and posted on the jobsite
before the first . specti n. If tend to obtain financing, consult with lender or an attorney before
commencing,Abrk or repo ng y r Notice of Commencement.
s
nat Owontractor as Agent for Owner --Signature of Contractor/License Holder
STATE OF FLORIDA �'� STATE OF COUNTYOF
FLORIDA
COUNTY OF
The forgoing instriulnent was acknowledged before me The forgoing instrument was acknowledged before me
this day of A &V bC . 20 L4y this day of .20 by
7`I
Sr-h&e-4,A
( a a of person acknowledging) (Name of person acknowledging)
r
( ignature of Notary Public-State of Florida ' / (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification V Personally Known OR Produced Identification
— __Type of Identification Produced Type of Identification Produced
Commission No. DAH98MA)M.HARTLEY Commission No. (Seal)
�
�� Notary Public,State of Morlda
Commission#FF 234167
My comm.ezpltes June 12,2019
Revised 07/15/201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
L!ITIALS'