HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �i
Date: 'S Permit Number: 110 !- d"d-22)
® - RECEIVE-D AP 1' os 20v
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 Commercial Residential FENCE
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line _
PED INiPRC?1/EMENT.LOCA
ROPOSTiON . „. .
Address: 13305 NW BAYWOOD PLACE PALM CITY FL. 34990
Legal Description: RIVERBEND PB67-36lot#28
Property Tax ID#: 4425-703-0033-000-5 Lot No. 28
Site Plan Name: Block No.
Project Name: NEW ALUMINUM FENCE
Setbacks Front Back: Right Side: Left Side:
QETAiLED DESCRIPTION OF WORK .
F
NEW INSTALLATION OF 2177T OF ALUMINUM FENCE 4'FT HIGH COLOR BRONZ
AND 3 WALK GATE WITH MAGNA LATCH.(CHILD PROOF, -
CONSTRUCTION INFORMATION ? ,
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Additional work toe e orme under this permit—check a appy:
HVAC 11 Gas Tank ❑Gas Piping _Shutters 11 Windows/Doors
11 Electric ElPlumbing Sprinklers FIGenerator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 4soo Utilities:]Sewer Septic Building Height:
OWNER/LESSEE „, CONTRACTOR
-s
Name SAIRAHMURPHY1� y,Q�O}��f Name:
Address:13305 NW BAYWOOD PLACE Company:
City: PALM CITY State: FL Address:
Zip Code: 34990 Fax: City: State:
Phone No._`-� 7 561 4:31;- �S"'q8 Zip Code: Fax:
E-Mail: SCON1515 CLOI- CO'YI Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN`LAW-1NFQRIVIATION W
DESIGNER/ENGINEER: _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 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
commencing w recording our Notice of Commencement.
s
Signatur Ow er mss Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S.*, Ly t COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 -aby this day of 20 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pu c-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known ,.•�,; Personally Known OR Produced Identification
Type of Identificatio °d 'cd��aRiEcivENs Type of Identification Produced
`* +° 23
`"� •�' EXPIRES:D ber 16,2020
UU U220
Commission No. ndadThru(��i ,blicUnderwriters Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
CO M P LETE
INITIALS