HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: . Permit Number:
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RECEWED
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Building Permit Application
Planning and Development Services MAR 23 2017
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 v
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Fence
PROPOSE/D� IMPROVEMENT LOCATION:
Address:___d 7 d ,d/t^3 i/=
Legal Description: Poj'12f-9
Property Tax ID#: c� 3 /0—S0 6 — 0112- 000 — Lot No. _
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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c1Cross Nit Frd.y-r ung( C.►0Wh 5/d���oP��7� ��n{
CONSTRUCTION INFORMATION:
Aciditional work to be erformed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
aElectric Plumbing O Sprinklers 13 Generator 0 Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
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Cost of Construction:$ C/oa `� Utilities: Sewer a Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name iN;it C-h Name: Scott Peters
Address: a.70 A (Fri )3r•e_-r_z<s fir. Company:All Indian River Fence
City: Fr Pa'zOec State: /=l. Address: 790 SW Airoso Blvd.
Zip Code: 3 YS V-S Fax: City: Port Saint Lucie State:FL
Phone No. 7 7 ' 3 5 3 —7 ,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
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERANGINEER: _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:
1 certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Countmakes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is In convict 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,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.
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Signature of Owner/Agent/Lessee *; ignature of Contractor/License Holder A:g:'*"
STATE OF FLORIDA a M< ATE OF FLORID ?a
COUNTY OF xoo spy;';.
OUNTY OF
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The f r oing instrument was acknowledged before meN he r ping instrument was acknowledged efore �othi�day of s�/eP — 20./-7by is day of 42*1 aC'�G'��- .20jby z mom;o �CKrr &2 P3
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(Name of person acknowledging &Iame of person acknowledging) a 2—M
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(Signature of tary Public-State of Florida �(Signa ure of Notary is-State of Florida)
Personally Known�OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS