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HomeMy WebLinkAboutBuilding Permit Application I ALL APPLICABLE'INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I ( �' Date: Permit Number: 1 1 Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (77,2)462-1553 Fax: (772)462-1578 Commercial ReS'iderltiai PERMIT APPLICA ION FOR: Fence 1 P.Rs0,P0`SED LIVIPR©VEMENT'LOCATION Address: 7805 James Rdfort Pierce FL 34951 i Legal Description: house Property Tax ID#: 1301-603-0022-000-8• i Lot No.22 Site.Plan Name: i Block No. 17 Project Name: 6 i Setbacks Front Back: Right Side: Left Side: G DF DESCR:IPTION OF WORK: Install wood privacy fence around property. laoofovaockk-k� h a CONSTRIJICTION I -'FORMATION Additional work to IDelpertormed under this permit-check k a appy: E1HVAC I QGas Tank Gas Piping Shutters Q Windows/Doors 0EIectric E Plumbing 11Sprinklers E]Generator i�Rpof Roof pitch Total Sq. Ft of Construction: S . Ft.of First Floor: Cost of Construction:$ ��C��� Utilities: _Sewer Septic Building Height: OUVNE'R LESSEE 'Co NTRACTOR:° ' Name David Chamberlain ' Name: , Address:7805 James Rd Company: I p City; Fort Pierce State:FL Address: Zip Code: 34951 Fax: City: State: Phone No.(772)249-6720 Zip Code: Fax: o E-Maii:Davidchamberlain1988@yahoo.com Phone No. I Fill in fee simple Title Holder on next page( if different E-Mail- from the Owner listed above) State or County 'censer If value of construction is$2500 or more,a RECORDED Notice of Commenceme is required) 1 I I � o I SUPPLEMENTAL CONSTRUCTION !LIE=N LAIN I'NaF,O.RMATIO.N °s DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY _Not Applicable. Name: Name: oitecFinancial LLC 6 Address: ! Address: P.O.Box6175 I City: State: City: Rapid State: so Zip: ! ➢ P on'e: Zip: 5709 Phone! 1-800-643-0202 FEE SIMPLE TITLE HOLDER:- Not Applicable BONDING COMPANY: _NQt Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone:i I i 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 I 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 r'est'rictions 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 res I It in your paying twice for improvements to your property. A Notice of Commencement must be recordedi and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lende or an attorney before commer i4ingwork or recording our Notice of Commencement. s liggriaSture of Owne /Less�e/Contrac oras Agent for Owner Signature of Contractor/License Holder STATE FLORIDA ^ STATE OF FLORIDA . COUNTY OF I �� 9,�� COUNTY OF i Th'e forgoing instruwa ack owledge efore me The forgoing instrument was acknowledged before me this�day.of t 20 by this day of 1 20 by C."6.C6 ` I (Name of person acknow edging) (Name of person acknowledging) e • I (Signatur of oto y Public-State of Florida V (Signature of Notary Public-State of Florida ) ��ll lY P�� 0 Personall o* a� ORftc! n Personally Known OR Produced Identification Type of Id rat' c '°°fir 00 Type of Identification Produced Commission#FF 2347 0 Flood Commis n��t��„;;4Q'� MY Comm.Ex ires ! Commission No. (Seal) irou P �a(Sa� 019-' gh National Notary Assn,j 1 I Revised 07/15/2014 II 1 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER ,REVIEW . REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS I I a a