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HomeMy WebLinkAboutBuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 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 PERMIT APPLICATION FOR: Fence Commercial ---- Residential ---- Address: \4] 12,\D Mfl\-- &, . Dft �TI J1! (.AQ, EL 64CJS2 Legal Description: ].\VB---filVlt iAh )t 0 Lo\-- \1. t,1.,1l:J Property Tax ID#:--------------------------- Site Plan Name: � eaOQID \r\J 1� . " Lot No. I ·2_ Block No. .I \\ Project Name: _ Setbacks Front _ DElectric Total Sq. Ft of Construction: _ Cost of Construction:$ -�=tj..,.....Q_ . _L�---- D Windows/Doors D Generator D Roof S� of First Floor: Utilities: LJ Sewer D Septic Building Height: _ City: -+-"--'--'--�,____--'-"-'.,_,_,.,..c...='-"--"'"------- State: fL Zip Code:� Fax: _ Phone No. _ E-Mail: ----------------� Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Company: Superior Fence and Rail Address: 2778 N Harbor City Blvd #102 City: Melbourne State:� Zip Code: _3_ 2 9_3_5 Fax: 321-638-0086 Phone No. 321-636-2829 E-Mail: spacecoast@superiorfenceandrail.com State or County License: _2_ 9 _ 5 8_9 _ If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Name: -------------------- Address: ------------------- City: --------------- State: Zip: Phone: _ Name: � Address: ------------------- City: State: Zip: Phone: _ FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _ Not Applicable Name: Addres- s : _ City:------------------- Zip: Phone: _ Name: _ Address: _ City: _ 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 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 commencin work or recordin our Notice of Commencement. STATE OF FLORIDA St. COUNTY OF '- ( AJ W) The forgoing instrument was acknowledged before me this JL day of Ma vGb , 20 \.::lby (Name of person acknowledging) (Qt,�� STATE OF FLORIDA 3-- ( ) COUNTY OF J A CA-1 ( The forgoing instrument was acknowledged before me this .1l day of MC\v Cb , 20 .o_ by (Name of person acknowledging Personally Know Type of ldentific Commission No. ,:;.,;.ff:;',,, OR Prr.,ltlJIE!A!dElmm.11(9catio ... --- - ·�ce!rlY COMMISSION #FF 217128 e.�·-. · .h} EXPIRES: April 5, 2019 ",/;r,,9r,,,��'$.,' Bonded Thru Notary R lie derv.•riters Personally Kno Type of ldentifi Commission N Revised 07I15/2014 REVIEWS DATE COMPLETE INITIALS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE# 4288828 OR BOOK 3975 PAGE 396, Recorded 03/21/2017 02:02:29 PM NOTICE OF COMMENCEMENT Permit No. ---------- St ate of Florida, County of St. Lucie Property Tax ID No. _ General description of improvements \OS� 241. w- \ R . \,vLQC\ -ff nc Q ) W) 3 G;.:fe,D. Owner/lessee �Phoe:d:b \,\::�) �] Address l41 \2. \.0 \v\(\ v .\?r· . '\?QA & \,\AW . tL �") ·2_ f r <> Interest in property: _ _._f)\.u.<-,A.,, " ' nQ . : . . _ _k _ Fee Simple Title holder (if other than owner)--------------------------- Address _---1"',c-----------�-------�----�------------- Contractor ,3\ i\iV-:\C,'1--: t()](l� w he VD\,, d. � p�� # _._ , y.,,,...&-JL-..l,...l ( Q""- , ?{.e_,_,,___._2'-"- � -= J -CJ=-i.-_ Address lY]'6 N t\-av·bnx::: CdJj hl\cY-l11w, tle\\-&L- ;ax# _ Surety d--'1�hone # _ The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. Le�al Description of property and address if available 2..1\lt V pl\.v k \A\C'i I:\::: 3 t)L.\L ::J Lot l L \4, �() l\v'\{1,v Dv . Pcvt Sr Ll, LL< , E:, 34-gSL Address _ Fax# _ Amount of Bond _ Lender _ Address _ Phone# _ Fax# _ Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (a) 7., Florida Statues: Name Phone# _ Address _ Fax# _ In addition to himself, owner designates of ___________________ Phone# _ Fax# _ to receive a copy of the Lienor's Notice as provided in Section 713.13 (l) (b), Florida Statutes. Expiration date of notice of commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CH713.13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY REFOR COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCMENT. essee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager/ Signature Sigc;�t�U£-0� State of Florida, County of S\ \ ,\.,l � Acknowledged before me this I 1. , day of H C\,v � 20 D_, by __,1:""'f�,"-n--'-1_>R:: " " ' � " ' - ·_±:)_.._\,.,,_'\]_.,,\__,_ \ W " ' - ' - - ' =--- who is personally known to me or who has produced __J� L . . . - . . O ""-'\)"--'L-""""----------- as identification. �U\\{HtU-�?-=' _:��..,.. .. !!,"! " ·= ' �'!!, · ,..,. · ·'!",! · �-s� T E""" P H.,.. A N'""" 1 EeT:'"� o o:!!!! K s-l- 1�ure of�otary Type or Print Name of Notary :"•�··J;··'.o-._ MY ClA·liv,1tSe11ij,F 2\7123 J lii:! . � . ·- . ·:J . ·,,}?,f EXPIRES Apr:I 'S. 2019 Title; Notary Public Commission Number_________ Bonoed Itau Notary Pubfc Uncerwrilers 0 - \0\� . �.j 0?.-' § �+ °' \\4) � � u-J �'x N -> ,.; - #�"'y-9 � � 'SJ\0 � ..... 9 - .... ..... s