HomeMy WebLinkAboutBuilding Permit Application i
I
i
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 j
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Fence
PROPOSED FMPROVEMENT:LOCATION:
Address:
Legal Description:_4J �tJc�,,rFs ��'� Ek:,,3 -f�a-4-P,,-r� -��b � j>t/dff'l
D1 sc_ Ll ��ax4cia{ k51 e-i Svf.�/ � �w�a��PZ�fii�� ICAO
�"
Property Tax ID#:5 � G yQ��? d� 60 L/a 0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
i
DETAILED DESCRIPTION-OF WORK:
fi{p/acs /zN t-e . oh -1A C C K
Gnd �/$ ' vh s�rcl� UH T1,� $iaF� pr0�e�7'y liNC alnd l wcL[K �0.t'c
/3cfw�r , Th t SI�c�C a%cl anLk �.-o/oc.Z-� �i'r►
CONSTRUCTION:INFORMATION: :.
I' ,
Additional workto a orme un er t is permit—c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Ed
Electric n Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 1 7 5 ' Utilities: Sewer Septic Building Height:
OWNER/LESSEE:. CONTRACTOR:.
Name �Al Name: Scott Peters
Address:_ Q 0 PeJlne; d X_ Company:All Indian River Fence
City: State: Address: 790 SW Airoso Blvd.
Zip Code: y Y r Fax: City: Port Saint Lucie State:FL
Phone No. .3 5~ Zip Code: 34983 Fax: 772 878-8283
E-Mail: Phone No. 772 340-1045 ,
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:#26030
d
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
J
I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: 1 Not Applicable
Name: Name:
Address: Address:
City: State: Clty: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: ,Not Applicable BONDING COMPANY: Mot Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
i
I certify that no work or Installation has commenced prior to the issuance of a permit.
St.Lucie Count-Y makes no representation that is granting a permit will autoorize the permit�hotder to build the subject structure
which is in conflict with any pplicable Home Owners Association rules,by aws or and covenants that may,restrict or prohibit such
structure.Please consult wit 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 t 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
commencinst worts or recordiniz vour Notice of Commencement.
i II
a �
ignature of Owner/Agent/lessee Signature of Contractor/license Holder
STATE OF FLORID! ` \
�c l � STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instr dent was acknowledged before me The forgoing Instrument;was acknowledged before me
this day of 2I)Lr by this day of .20L_.4 by
(Name of person acknowledging) (Name of person acknowledging)
I '
gnature of Notary Pub c-State of Florida) (Signature of Notary Public- ate of Florida)
Personally Known OR Produced Identification Personally Known OR Produced,Identification
Type of identification Produced Type of Identification Produced
Commission No. (Seal) ssion No. (Seal)
ANNA INGR M a ,
,���„ LASHAHNA INGRAM
�o�rAV,�ua��,,� Notary
public
Dec 20,2018 _ :=o*e � .; Notary Public state
of Fludda
Revised 07/15/2014 :r� « My Commission FF 177249 „ »•'My Comm.Expires Dec 20,2018
« , _ rnM # Assn.j N• *oe` Commission#FF 177249
throng Bonded thra 9��.
Wilel
REVIEWS FRONT cYN� ki 1 OR PLANS VEGETATION�z SEA TURTLE T' MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
�I
INI7'iALS
I