HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: Ls' `�' I Permit Number: lrzz
Building Permit Application JUN 15 201'
Planning and Development Services
Building and Code Regulation Division PEPF10 1NG
2300 Virginia Avenue,Fort Pierce FL 34982 5t. LL I County, FL
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: �J,j 0 �i✓�'Y� Q lq V e—
Legal Legal Description: Q i UQK_FQY k- LLdVr f.3 fro`e-1<C ,3)-lam /3 7 L"a t
Property Tax lD#: : yW q-_5-o 0 —003,7- Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: RZmove_ Y- laL.e- S r .. Ch",h r-e-nG�
CONSTRUCTION INFORMATION:
.Additional work toeperformedunder this permit-check a appy:
(
HVAC 11 Gas Gas Tank ❑Gas Piping _Shutters �Windows/Doors
1-1 Electric In Plumbing []Sprinklers El Generator Roof
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$�/�f(� Q Utilities: Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Name: Scott Peters
Address: 4 y e Company:All Indian River Fence
City:_ _P > State:-F—/ Address: 790 SW Airoso Blvd.
Zip Code:314 9�5 Fax: City: Port Saint Lucie State:FL
Phone No. 9),7 -_,;Z 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:
DESIGNER/ENGINEER: __,Not Applicable MORTGAGE COMPANY: ___Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: J IZip: Phone:
PEE 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 ermit will authorize the permit holderto build the subject structure
which Is inP coin Fa
any applicable
Home Owners
AssoAssoc Faantand evlewyyour deed fcovenants
any estrictions wh ch aor
aply.prohibit such
In consideration of the granting of this requested permit,I do hereby agree that t 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-restdential 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
commenciniz work or recordine vour Notice of Commencement.
Ngnature of Owner/Agent/Lessee Slgna ure ofContractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF <-f-- /,S c e COUNTY OF <'-L e+
The forgoing Instrument was acknowledged before me The forgoing instrument was acknowledged before me
this qday of t V\ , 2nf i-by this 2 day of„�r .-.,2 by
(Name of person acknowledging) ..�._�. ( B
Name of person acknowledging)
)
�0,4,'-, &.L=� Q-0". q
(Signature o o Public-State of Florida} (Signature oftta6y Public-State ofT o lda
Personally Known OR Produced identification
Personally Q ., +
Type of Ide ific,a(i,5l9l;E,coduced_U Type o d>antdiea
CATHY J ROBERTS
Notary Public-State of Florida
Commissio - *•= Commission#(5M41708 Comm .o": Notary Public-State of
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My Comm.Expires May 10,2019 Y •. ommission##FF 221708
oFfilo,,.� RnndadthmunhhPAnnalN&acy , Q;c My Comm.Expires May 10,2019
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Bondedthrough on Notary sn.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS �