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HomeMy WebLinkAboutBuilding Permit ApplicationI ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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 PERMIT APPLICATION FOR: Fence Address: 5700 Killarney Avenue, Fort Piece, FL 34951 Legal Description: Lakewood Park, Unit 11, Block 154, Lot 17 Property Tax ID #: 1301-613-0405-000-8 84' - 4' Black Vinyl Chain Link Fencing with 2 gates ❑ HVAC ❑ Electric E] Plumbing Sprinklers Left Side: "Shutters Generator Residential x Lot No. 17 . Block No. 154 Windows/Doors Roof Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ c:733s--�© C' Utilities:cn Sewer F]Septic Building Height: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. MORTGAGE COMPANY- Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone* FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: — Not Applicable BONDING COMPANY: Name: Address: City: Zip: Phone: Not Applicable 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 commencing work or recording your Notice of Commencement. Signature of Owner/'Age I Lessee Signature of Contractor/License Holder STATE OF FLORIDA/ _J_ COUNTY OF VW f46 P;der" The forgoing instq=eInt was acknowledged before me this I day Ve-11Wvairy 201M by -Da P) I ur'-)r�t- (Name of person acknowledging) STATE OF FLORIDA COUNTYOF .2 P1 Cho /-I IQ 1, Ile- J— The forgoing e insof trrAL t was acknowledged before me 1 4 r this I day Drvelrk/ 20= by *—D cy v) Tu rh P ,,- (Name of person acknowledging) DATE RECEIVED DATE COMPLETED _ �lc�'Lz,�CI�'1-�.Gt_ �i� 1 i 1L°k1 L�.;It"2���'K-it, 7Signhture of Notary Publi ate of Florida C�!-�/�-- f ! [ Ll'.�''L�r��za� (Signakure of Notary Public- St e of Florida Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. CYNTHIA �,ARCIIAIIT q my COMMI 'S1 ) #FF1421169A Commissiorl LU MA �NT EXPIRES September 21, 2018 . J My COMMISSION #FF142116 Revised 07/15/2014 (407)398-0153 Florldallotary Sen/ice.com I .... . September 21, 20-18 "ZE��' EXPIRESm 398-01,53 J 00Y) FlondallotaryServic REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE I COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED