HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: - O
20'V'
Planning
Permit Application
MAR ��
Planning and Development Services PEH:jilTTi, F1_Building and Code Regulation Division St. Lucie County,
2300 Virginia Avenue,Fort Pierce FL 34982 /
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: �,5 q -54.d la, Ave
Legal Description: /Qiut,- Phe K U,-),T- 7 - [31K rpt �oT-S
Property Tax ID#: 3119-SSO - 005G--600-X Lot No. S
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
n 5 i.i I 5' Ht9 A L.n K ` jO05 pej It X/ I-A r T6 t We o6e_
CONSTRUCTION INFORMATION:
Additional work toe nerformed under this permit-check a appy:
HVAC Gas Tank ❑Gas Piping U Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers 11 Generator L—Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 6e)o.o0- Utilities:0_Sewer 0Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name .C:n d cd c s.a ^ten c Name: Scott Peters
Address: FSS y 4v-e- Company:All Indian River Fence
City: AS L State: F1 Address: 790 SW Airoso Blvd.
Zip Code: 3`/,? 3 Fax: City: Port Saint Lucie State:FL
Phone No. 77 2 y;�S i S/ 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
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:
f Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: ____Not Applicable BONDING COMPANY:. Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
1 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 ill authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rues,bylaws4r 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,l do hereby agree that 1 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.
Signa re of Owner/Agent/Lessee Signature of Contractor/license Holder
STATE OF FLORIDA&) STATE OF FLORIDA
f (d
COUNTY OF /_.t.a,. a COUNTY OF �7�l
The f r ging instr ent was acknowledge before me The fo oing instru e t was acknowled8ed before me
this,�; day of 2q L7 by this day of 201by
K-S
( a e rp r on acknowledging y (Name of person acknow tedgin
(Sign ur ofWV Public-State of Florida) (Signature f oto ic-State of Florida)
Personally Known , ro u el�i �Ei�1T— Personally Known �OR,Rra uced Id ny *19gg=cru
Type of Identification r� Ry P��' Type of Identification Produt r``
4 Moda
a
Commission N .; my C m• xpires Dec 1,2017 �' "!N ti l'�Y Comm.Expires Dec 1,2017
�; Commission N0. + o; a�sion # FF 069924
Coy Ion # FF 069924 o-
IF ° ` ;;°`' Bonded Through National Nolary Assn.
Bonded Through National Notary Assn. y�
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS