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Home My WebLink About2017-10-10 13-37ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: - J _ 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: To Select from dropbox, click arrow at the end of line F -f rl G t I PROPOSED IMPROVEMENT LOCATION: -I Address: 1:10 N9 Legal Description: 9 -e -V PL 0� r_01'i" -PI e rc-p— S h oye s U U i -r _15- PropertyTaxlD#: Iq��'l�Or� 06��'6�o�S Lot No. Site Plan Nam Block No. Project Name: Front N I1,� Back: 0 1 A_ Right Side: N Left Side: ti 1 A - Setbacks DETAILED DESCRIPTION OF WORK: �� f 5 i e hd c k cam— i 5 y' ►� lay . c PI Ccu'1+11 C2 UX ++I CV7 e'L/' w Name e Name: on WM OLY1 Address: S L f3wLGK Dw r; hk �,t + 12Si Sim rear C�✓ter�� PVC wi-f1� d/I� 6W9a di a 61 e • -8115 fc-n C{ ►5 - CONSTRUCTION INFORMATION: ACICUtional work toe Dert I ormed under this permit- check all appy: HVAC 0 Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors U Electric El Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: P�- Sq- Ft. of First Floor: _ Cost of Construction: $ 1 a60 ' `� Utilities:0Sewer OSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name e Name: on WM OLY1 Address: S L f3wLGK Company: O.WLvArloin Address: 6,5b S O RticZ Y12S 10,^ City: FA ?Ie1r ll EL, Stater Zip Code: 3!bq 9 Fax: City: ?5 (- State: l' I °l65 Zip Code: `9�3 Fax: tJ! ►�� Phone No. E -Mail: A) Phone No.7i�'.� Fill in fee simple Title Holder on next page ( if different E -Mail: rh L Q rYla)l from the Owner listed above) State or County License: S If value of construction is $2500 or more, a KECURutu Notice oT Vommencement is requires. r-40 c ( C,ms _. BOARD ��Q /�� ._........._._. PLANNMG a DEVERC WEW COUNTY COUNTY SERVICES DEPARTIIMM COMMISSIONERS Building & Coda RsquWWn Division Residential Fence Affidavit of Compliance 1, 86,04 60 C k yyl intending to be legally bound, hereby certify that wo c authorized by Permit Number is installed in accordance with the approved drawing/plot pl8WsurveY on frie with the County. 1 certify the fence is: 1. Located within my property boundaries. 2. Not !opted within any preserve areas or easements. 3. A Maxum of 4 feet in height in any required front yard setback. 4. A Maximum of 6 feet in height on the side and/or rear of the property. 5. Not located within 54 feet of North Fork, Five Mile or Teel Mile Riverine, if MY property was platted before 811189 or not located *chin 75 feet N my property was platted after 811189. 6. Outside dear sight triangle (fencc shall be erected in such away so that adeginte si& d Dam at say whkutar or pedestrian ac ss is maintained) 7. "Not used as a fence pool barrier. lbilo 11 -7 --- Date i_,1/ • .ISI L I_ . �4 "*FENCES USED AS POOL. BARRIERS MUST BE INSPECTED BY THE COUNTY " Y frotaaY . Swt of FiN Ida . My comm. tta ires'O" 1.2018 catawssfoa # FF 111465 fIhmot pdjptd N"y Assn JUVF'LtMtN I AL t.VI1131 nV%.I IVN UtN LAW INK)RMAMN: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: State: CitLAddress: City; State: Phone Zip: Phone: TITLE HOLDER: Lef_ Not Applicable BONDING COMPANY: _Not Applicable P uced Name: ^ S./ Address: ORTIZ City: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 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 restrictions 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 result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite b�e�f9re the first inspection. If you intend to obtain financing, consult with lender or an attorney before corT Mencing work or ree6rdine vour Notice of CommencPm9Mt_ W_ Signature of Owner/ Lessee/ on ctor ent for Owner - I 0A Signature or Ider STATE OF FLORIDASTATE COUNTY OF �' Lo e -(t OF FLO COUNTY OF `:f L� c The forgoing instrument as acknowledg before me this L—_ day of &, 2011 by The forgoing in ed before me this �1 iiay of 9 ';�� Q,� by Q' -� fl rJ ck A rn O, r i �¢_ ,r. r+ �o a 0. A :e y4'1, Avg Name of person making stitement Na n making statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification P uced Produced ^ S./ ORTIZ JAIME ORTIZ '' ale 'k0l'? . Notar Publi - d are of P �F1R�ilpiks Jun 1, 2018 (Si re of PJotary tjomm. Explre1 s Jun 1, 2 mKS1p� #_JF 111485 Commission No �:f �` `� mTfvoupk r Commission # FF 11148 Commission No. l �� NaftW Nolary teary, Asm REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED nev. B/Grd!