HomeMy WebLinkAboutBuilding Permit Application I i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: %J-.;.SWA Permit Number:
Building Permit Application 1
Planning and DevelopmentServices
Building and Code Regulation Division
2300 Irrginia Avenue,Fort Pierce FL 34982
Phone:(7.72)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Fence
PROPOSED`IMP:ROVEMENT LOCATION:
Address: 7s'/ SE &cJcl..'n A4 3 V9 2.3
Legal Description: Vstif-ts 01K 3 L.ai Az
Property Tax ID#: 34/e27 70 1 , 0 0.5`y —000 Lot No. ��•
Site Plan Name: Block No. 3
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED-DESCRIPTION OF.WORK-r
,TpSth l/ 3//' o f 6 14i's4 Pt/L ci/arr� 4-A OacK 1-A. aiopin Tk
5,-d,- 6oisd Across 'ro .The Nvsc 20`F.,v_ TA,- i9".'CoeA,ee's r�
f K Qy-� a+�Th c �c�t7- and 4 !J.lJ�!✓ af'� on 'Nit /{; hT'
=CONSTRUCTION.INFORMATION: ® ` —An Lm
rtiona workto a orme un �thisp�eftft'— ec �Jll �Shutte�rs
HVAC Gas Tanking Windows/Doors
Electric Q Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: SQ. Ft.of First Floor:
Cost of Construction:$ �-�s% Utilities: _Sewer Septic Building Height:
OWNER/LESS:EE: CONTRACTOR:
Name Tad,, 6(,c.K Name: Scott Peters
Address: 75c/ SF hf4kd_r„ Company All Indian River Fence
City PSL State:F/ Address:790 SW Airoso Blvd.
Zip Code: 3 Yl 9 3 Fax: City; Part Saint Lucie State:FL
Phone No. '/ S11 V3 :. l ass 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
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If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: j
DESIGNER/ENGINEER: Not ApplicableMORTGAGE 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:
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1 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 gill authorize the permit hoiden to build the subject structure
which is in conflict witt any applicable Home Owners Association rules,bylaws or andcovenantsthat 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 andIposted 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.
Signature of Owner/Agent/Lessee Signat re of Contractor/License Holder
STATE OF FLORIDA STATE OF FL0911A
COUNTY OF 5 COUNTY OF SS 1.y t
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The fo oing instrument was acknowledged before me The for oing instrument was acknowledged before me
this4P dayof—J%-ft . 2�11by this day of �g� .20_q by it
CFO
t;d
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pub -State of Florida) (Signature of Notary Pub -State of Florida)
Personally Known rsonally Know ifi,-- U
Type of Identification Prod `:' t- I 3 e of Identific t � cedl D
.L. MY 3:December 1 2020
— 'COWA1SSION#GG 022023
= B n e
Commission No. �. p;= � '(twNntayPubftunaenal nE mission No.
IRE&De46,2020
Notary Public ndemitem ISI
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Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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