HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12 , 2L III Permit Number..!" - CS
Building Permit Application AUG 2 3 201
Planning and Development Services7 '
Building and Code Regulation Division r E R 1 117 1 N'G
2300 Virginia Avenue,Fort Pierce FL 34982 FL
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address:
,�q /0 7 IfIA VOL�6 qv 1
Legal Description:t5�AAaQc_i e- utl"'f-
,+A�J
Property Tax ID#: Lot No._1.0q--13-1,
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: l7 C-A"- 14.e-,,7 c-e
h-7-
1.5 e- c-c
CONSTRUCTION INFORMATION:
Additional work tobe nertormed under this permit-check all apply:
11HVAC 0 Gas Tank E]Gas Piping inShutters Windows/Doors
0 Electric nPlumbing OSprinklers CGenerator Roof
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ '75-0, Utilities:oSewerF Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name 0 9% 0 A) /P1 C-C,,-A--Alf__:;-7 Name: Scott Peters
Address:0 !z o IL&(fo�-_I'b A V Company:All Indian River Fence
City: Eh L) State::F/ Address: 790 SW Airoso Blvd.
Zip Code: 3 Fax: City: Port Saint Lucie state:FL
Phone No.
34983 772 878-8283
-7 Zip Code: - Fax:
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 OF 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: I
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 priorto the issuance of a permit.
St.Lucie Count
Y makes no representation that is granting a permit ill authorize the ermit holder to build the subject structure
which is in contlict with any applicable Home Owners Association rues,bylaws or andcovenantsthat 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,t 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.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF SV-- L" " p
The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this,j4„day of u 21D(3_by this ISL day of .20ja by
NYJ_elr,
(Name of person acknowledging) {Name of person acknowledging)
(Signature„of 't ' ubil (Signature of t ublic-State of Florida)
g o1RV P i•'• CATHY J ROBERTS �„
s
CATHY J RQ ER S
Personall th #° S# basmidefiflaml Personally Know ° °�a A '4 tiNelfll5Qlbr
Type of id ad&&B�jnission;”FF 221708 Type of Ident Ic ' 1d
� of�oPAY Comm. xp res May 10,2019 %�9 p;� My Comm.Ex�}i�e,�s,, ay W 2019
Commissi Bonded through Nation Assn. CommissionNO.; '''hOFF�O•` edthroughFf f Notary Assn.
Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION ` SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW I REVIEW REVIEW
DATE
COMPLETE
INITIALS i