HomeMy WebLinkAboutBuilding Permit Application L
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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 Commercial Residential
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address /
Legal Description: o B—
Property Tax ID#: T0a— (p'7- OX-V--0 d6 —U Lot No. 'r
Site Plan Name: Block No. 4n15
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: c h L /wa�K Gat
isf-All 'rG:aL� f o-, +7 -rtiz r3„cK Co�nt�s dF TLS c �oc�S� goi`,c, T 1307`4
5id-ec.),Y L,,., cSJ w ;7-A / ��1I K GOL�c v� T�, �1
1 �c �AT 5V,� ti
(f 0n7`Jnu� ,(�Owh 7'1, Le_FT Pr0perl`Y Lih L 70 Got^n rr` aimedCtLTD
ss TA ,< r3ack
,P,-,, ti r /L)A, L
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check all=appy:
HVAC Ei Gas Tank ❑Gas Piping CGenerator
Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers loof
Total Sq. Ft of Construction: S . Ft.of First Floor:
o
Cost of Construction:$ D 0. Utilities: _Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name a GGt ” Qj7- .( Name: Scott Peters
Address: 1, 5t�- C3;?-,D Company:All Indian River Fence
City: 3&,cam � Iry State: / Address: 790 SW Airoso Blvd.
Zip Code: 302 Fax: City: Port Saint Lucie State:FL
Phone No. 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.
i
SUPPLEMENTAL CONSTRUCTION LiEN LAW INFORMATION:
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:
►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 permitill authorize the permit holds to build the subject structure
which is In conflict with any applicable Home Owners Association rues, 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 1 will,in all respects,perform the work
in accordance with the approved pians,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 pori-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.
tgnature of Owner/Agent/Lessee Signature of Contractor/l'+cense Holder
STATE OF FLORIDA STATE OF FLOOIIPA
COUNTY OF 5 Jr. L v c'�t COUNTY OF
The forgoing instrument was acknowledged before me The fo otng instrument was acknowledged before me
this-a&day of vv v" . 20 1_- .by this_ day of—c_, _ .20q by
Se -t 4-5 S c r, T. -e.,r
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pu ic-State of Florida) 1 (Signature of Notary'Public-State of Florida)
PersonallyKnown OR Produced identification Personals Kno rt•°"�'tom=. 0
y . �� r. � Rh hAF I@
Type of Identification Produced L Type of Identif ce
DEANNAMARIEGNENS iFGf''pp�_BandedThruNotaryPublicUndenvriters
Commission No. MY OION#GG 022023 Commission N
„o EXPIRES:December 16,2020
"�....•P• dThruNotary public Underwritem
Revised 07/15/20
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION I SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS i.,