HomeMy WebLinkAboutBuilding Permit Application II
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services MAR 14 2017
Building and Code Regulation Division PE f.
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone:(772)462-1553 Fax:(772)462-1578 Commercial, Residential
.PERMIT APPLICATION FOR: Fence
PROPOSEDIMPROVEMENT LOCATION::
Address- i 1Q__ LA-W/ e_
t �
Legal Description: i V /�-Y'k � �/!
g P
Property Tax ID#:34 0--JF/6 —0 3a(o --6 6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION_OF.WORK:
!/nom 1 .t / .. .- .. . 1 .. ...
C./�Glt,4 4;n/< �,�Nrj�o�� Gt�O✓!t1'�-G. {,G F- �iePei-7'•f/
rrs74trti.,oJ oar (%onT Pry fJrfty �;h 17(" WJ11 PCII FG✓!Le- 11P7'o T-h c
6F I-ti c Jf�Ous� cOr+ f�Hvciwi tG, �' i(r�h (�vL ancL 10oW61.L- /Drives GC't-e
CONSTRUCTION INFORMATION:
it ona worK to be nertormed under this perm -c ef!K all t=appy:
HVAC LJ Gas Tank ❑Gas Piping _Shutters M Windows/Doors
13 Electric Plumbing O Sprinklers 1:1 Generator Roof
Total Sq.Ft of Construction: S . Ft.of First Floor:
a
Cost of Construction:$ 5� 0 a- a� Utilities: Sewer Septic Building Height:
.OWNER/LESSEE CONTRACTOR:
Name o-c&J L4, Name: Scott Peters
Address:9,�;'6 R 6L-do i'e- Company:All Indian River Fence
City: r- � -L(--C), State:./' Address: 790 SW Airoso Blvd.
Zip Code•3 — Fax: City. Port Saint Lucie State:FL
Phone No. -77 oZ 77 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: T Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County make no representation that is granting a permit will authorize the permit holden to build the subject structure
which is in conflict wits an pplicable Home Owners Association rules,bylaws or and covenants that may,restrict or prohibit such
structure.Please consult wytt�i 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 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
commencInLr work or recording our Notice of Commencement.
Signature of caner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA., STATE OF FLORIDA I
COUNTY OF �T`L Cwt e— COUNTY
The forgoing instrument was acknowledeed before me The forgoing Instrument was acknowledged before me
this�day of .4eL P e_h . 20 LZ.by this 6 day of 44 mm 120-Q by
(Name of person acknowledging) (Name of person acknowledging)
(Signat e a ublic-State of Florida) .(Signatur of ti ry`Pu Iic-State afo2r da
t/ CASEY 0 FRENCH
Personally Known r Q&_EMduced4dentlficati Personally Known . ne'N
of FloridaType of tdentificatio 'a Pr u CASEY DRENCH Type of Identificatton Prb - * .= mt nmm Expires Dec 1,2017
�- IFN=z
� + Notary Public-State of Florida °o` Commission # FF 06992.4
Commission NO! r vi( My Cor(�E )pins Dec 1,2017 Commission r NO.
Boneal 9 gh Nations Notary ksn.'
'LIZ ommission # FF 069924Finnglarl
N ''9,F OF FI�P 1 U;;11nns,1 N to I "m 4�
Revised 07/15/2014
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