HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 �1 I Permit Number: c
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Building Permit Application JUL ? 12 0.1?
Planning and Development Services
Building and Code Regulation Division RCCnn 115i. Luei r-�,
2300 Virginia Avenue,Fort Pierce FL 34982 L-civ. FL
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 5-o) E E-Ig 5 S
Legal Description: Y� S�"a��5 ' N�" �� 3 0-hS `f /
Property Tax ID#:3_q 0 03 -0 1�20W - D D— ;2- Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: /� wood �u c e
`J1olI 1 y,�i h c_6,0,, L.I.+K l�%LC W!T-A l wzLIK 6,1-e- c+`r+ek / tgof/
nfrown ri,t fSaee� 4 tFT C,-Ca,-,m e &f Ho U5 Cro 7-A c S ,,d L ,JrOP moi•!y L"n e-
11Lm0N e- 9- /7tpl4C•Z /c-014":3A14":3A woos( `Gh c.r r rro-, The fil6A7- C-Orntir pr / Qsc_ /c71-hG
�1rl��rm/oei�''�. L:r)e ,P�own S�r1t ��ope. i L.'w,e .4p �o)e, �C` Ther, q<<o55 To da.eKCerr�,e,.
to Ve to-!re s
CONSTRUCTION INFORMATION:
Additional work to be erformed under this permit-check a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator 1:1Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 7�0�' 0� Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name v//:s -J'o17r+s o h Name: Scott Peters
Address: �o/ E cry Sr. Company:All Indian River Fence
City: State: /• Address: 790 SW Airoso Blvd.
Zip Code: 31/99A Fax: City Port Saint Lucie State:FL
Phone No. Sl 9 - f3 3 S ly 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: 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 auT�orize the permit holder to build the subject structure
which is In contlict with any applicable Home Owners Association rules,by aws 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 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-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 recordiniz vour Notice of Commencement.
Signbture of Owner/Agent/Lessee 119-nalrure of Contractor/L'icense Holder
STATE OF FLORIDAJ � STATE OF FLORIDA
COUNTY OF_ -}- LtSC.r P COUNTY OF S t4 C
The forgoing instrument was acknowledged before me . The forgoing instrument was acknowledged before me
this J--')day of =,01 . 20 l!by this I') day of -ZZ(r =20±1 by
(Name of person acknowledging) (Name of person acknowledging)
0&4z Q eeLr"-4- � 'P�+
(Signature of Public-State of Fforida} (Signature o a y Public-State of Florida)
Personaliy Known A 1 Personally Known 0 4d c d,fd '"cam
Type of identificatio Pr �aoiL C I 0 Type of identificatio Prpi�t} Y AT��RORFRTC
Notary Public-State of Florida :2° ,`mos Notary Public-State of Florida
Commission No. b (Jta%n�FF 221708 Commission No. _•- tr•- mm(Si8e1 -FF 221708
's;, ¢�?.• My omm.Ex fres Ma 10.2019 P
�o�� o�, p Y •.,��oF�°��°��' my Comm.Expires May 10.2019
Bondedthro '`��������` 8ondedth
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
COMPLETE
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INITIALS i