HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: May 5,2017 Permit Number: I U lJ 'tom
Building Permit Application MAy j .$.2017
Planning and Development Services PFFIMiTTING
Building and Code Regulation Division St.Lucie Coun—ty,FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 5211 Palm Drive,St Lucie County
Legal Description: INDIAN RIVER ESTATES-UNIT 7-BLK 49 LOT 36(MAP 34/02S)(OR 706-0550:777-2676)
Property Tax ID#: 3402-608-0338-000/7 Lot No.36
Site Plan Name: Block No. 49
Project Name: NEW WOOD FENCE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE EXISTING FENCE FABRIC WITH NEW, EXTEND FENCE TO THE EAST EVEN WITH
THE FRONT OF THE HOUSE ON BOTH THE SOUTH AND NORTH SIDES.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit–check all tha appy:
❑HVAC Gas Tank Gas Piping _Shutters n]Windows D ors
0 Electric 0 PlumbingSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ f Utilities. Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR'.,
Name John Andersen Name: John Andersen
Address:5211 Palm Dr Company: Owner
City: Fort Pierce State:FL Address:
Zip Code: 34982 Fax: City: State:
Phone No. 772-465-6029, home,772-979-6115 cell Zip Code: Fax:
E-Mail:johnandersen@bellsouth.net 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.
I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:. l
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 work olfeeerding your Notice of Commencement.
s
Signat re of ner Les ee/Co ractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF U\,-",P 1 , COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was'acknowledged before me
this ACI
day of V (-\f),-w 20 0—by this day of 20 by
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(Name of erson acknowledging) (Name of person acknowledging)
ignAure of Notary Public-State of Florida) (Signature of Notary Public—State of Florida)
Personally Known OR Produced.Identification Personally Known OR Produced Identification
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS