HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater Permit Number: L
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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: S—o;2
Legal Description
Legal Description:_ 7 FTTO W Ll
o 44000MMAT SW S I/2 OF S 1 2 OF SE 10/4 OF SW IR/4•TH N OO DEG 59 MIN 37 SEC E A GD L1 48 FT TO PO
nSN 10SECE EB,TH CONT N
00 DEG 59 MIN 37 SEC E 285.44 FT•TH S 89 DEG 04 MIN 57 SEC E 281.92 FT TO FENCE,TH S OODEG 59 MIN
37 SEC E 285.44 FT TON R/W LI CANAL tP16•TH N 89 DEG 04 SUN 57 SEC W ALG SD R/W LI 281.92 FT TO
FOB(1.85 AC)(OR 3758-2854)
Property Tax ID 3Y 3—6 0 aS-OQ.b �/ Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: s
h57`a t ty- ch-,-7 �,'n fG ( ' pvL
CO NSTRU CTI O N:INFORMATION: .
Itlona work to (eperformedunder this permit—check a appy:
L_
HVAC J Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric Plumbing Sprinklers 13 Generator 0.Roof-
Total Sq.Ft of Construction: S .Ft.of First Floor:
00
Cost of Construction:$ �56007, Utilities: Sewer 0Septic Building.Height:
OWNER/LESSEE: CONTRACTOR:..
Nalne od2il}ei k-/A/ /j J ix Name: Scott Peters
Address:. vt5 /. I�.��L�� (� Company:All Indian River Fence
City: '� e.,c Ge- State:, Address: 790 SW Airoso Blvd.
Zip Code: Fax: arty. 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.
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 makeno representation that is granting a permit ill authorize the permit holds to build the subject structure
which is In conflict wits 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,l do hereby agree that 1 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 recording our Notice of Commencement.
.10
'Signi tune of Owner/Agent/Lessee Signa ure of Contractor/L•icense Holder
STATE OF KOWA STATE OF FLORIDA
COUNTY OF s Lyc o COUNTY or-__,S'�
The forgoing instrument was acknowledized before me The forgoing instrument was acknowledged before me
this3-:Clay of ` 2n(a by this day of 20-4 by
y C-6
(Name of person acknowledging) (Name of person acknowledging)
GPZ�L_� - — 0'a'j—
(Signature oWaily Public-State of Florida} (Signature ofWary Public-State of Florida)
Personal! Personally Krio
""' ATHY J ROBERTS CATHY J ROBERTS
Type of id ,° �roduce� Type of Identif' at�ofl&mated
Notary u c-State of ora ;ter° `moo= Notary u c-State of oJa
Commission#Ff 08 _ •_ Commission(S,�F 170Commissio - �I � Commission N - . '�j'xpires ay 1 2019 ., �a,� y omm.Exptres a�10,Bonded through National Notary Assn. %°�� �'� Bonded through National Notary Assn.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION i SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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