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HomeMy WebLinkAboutBuilding Permit Application I ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^ Date: D 7 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: e Address: / S r Legal Description:-WHITE CITY S/D 04 36 40 N 200 FT OF THAT PART OF LOTS621/2'AND 65 1/2 LYG E OF CANAL 71 _ AND S OF WLY EXT OF N LI OF OUTLOT 14(1.63 AC)(MAP 34/04S) (OR 1577-1236) Property Tax ID#: 3 yQ3—.SO. 0 0 99— 210 0 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: I DETAILED DESCRIPTION OF WORK: �,y,,ov� �� /a c e' �' Ar LA 5-har-t- q�Prr9�. /d j3ac K %-ted.., 7'ti t i[��,�I L©F n tr s r� T4 a (-ldAAvSf_C 5n ct CROSS Frp r2�� 0 S,r� a P/ 0,P-C ! �/ H rS w;7�i WIAIK f0 Mt-C_ i Dn TR c l cTT Si� z cCn� ? 7'-ll / wca( K CeaY'c i h / ack <Pn L CONSTRUCTION INFORMATION: Additional work tobene orme under this permit-check a appy: HVAC LJ Gas Tank ❑Gas Piping _Shutters to Windows/Doors Electric Plumbing Sprinklers Generator Roof Total Sq.Ft of Construction: S .Ft.of First Floor: C)6 7 Cost of Construction:$ 5 E. Utilities: _Sewer[]Septic Building Height: OWNER/LESSEE:. CONTRACTOR: i Name Name: Scott Peters Address: / Q_-, D Company:All Indian River Fence City: C State: Address: 790 SW Airoso Blvd. Zip Code: . Fax: City: Port Saint Lucie State:FL Phone No. -2 7V' 3(�7 Q J 7 Zip Code: 34983 Fax: 772 878-8283 E-Mail: I 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 i I i 'i SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable Name' Name: Address: Address: City: State: City: ! State: Zip: Phone: I 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 illi authorize the permit holdefto build the subject structure which is in conflict with any applicable Home Owners Association ru es,bylaws gr 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:jroom 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 i ignature of caner/Agent/Lessee Signature of Con ractor/Licensb Holder I STATE OF FLORIDA �3:- COUNTYl�_�GC- STATE OF OFORIDA-.6�, / rCOUNTY OF !4l The f going instrum nt was acknowledge before me The r Ding Instrum nt was acknowledg efore me this�day of Zp�by this!day of 20 by S C� (Name of person acknowledging) (Name of person acknowledging) 7 I ' (Slgnatur ry ublic-State of Florida) ( ' N t ry Public-State of Florida) P onall l(.ow -,�-- 'oh } ersonally K ci OR Pr6mwi04111 1ication Type of den#If�+� ign roducdDUGEl-A M HUFF Iden i a '- y Public-State of Florida Notary Public-State of Florida ='« Commission Commi551Y ' E Commission#FF My Comm.Expires 2019 4 *• J9#W Commissio �II Ll I a t cPr My Comm'.Ex ares Ma 27,2019` ough NationTllot yAssn. P Y 4"J I of Assn.' Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION 4 SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW11 DATE COMPLETE INITIALS i • I 'I IN V iL r2, IA r �fi Ts 4 Ut/a %(3 i2 J . - eve