HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �J
Date: 1 � �• �� Permit Number:
FIVE®
Building Permit Application NOV 16 2017
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 11MPROVEMENTLOCATION:
Address: :`oi.
Legal Description: -Lviri(•�h 12���r- few;r 9 - B1K, W_S - Lots o13 'i--2Ll
PropertyTaxlD#: 3gOa- 610 OgV7 -000 - I Lot No.,A3'd`��/
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF::dWORK: �1 7 ` Ul a �e or1G�-
o%- 9ca 7'o rA e- ��K P�LPErty Lrn c
W.�'t--h z.✓solI� c.Aic 1Urh &. J go cA.(oi,5 r-+c 13cuK inc To 7A - Zn r-T-
PraPcr7lj P:'r, %vrH Al. a yc1 eLto"9 r'h%--- Lc FT- AroPcr'tr rt-p-om r-o r-
i'1,t G,m.�5 t 7ar� urcA t!d To F7- Co•^ham^ 0 C- vu*5e- %M i t-A �-
o,*c Lac. e C_10et CA, •
CONSTRUCTION-INFORMATION
Additional work toe e orme under this permit-c ec a appy:
HVAC F]Gas Tank F_]Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers E Generator 1:1 Roof
Total Sq.Ft of Construction: So- Ft.of First Floor:
Cost of Construction:$ -' 00 y' of Utilities: _Sewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Kc-ItV /-/tx(✓-crso-n Name: Scott Peters
Address: 600 1 LL"4S5 i, OP-. Company:All Indian River Fence
City: Fr. to;—C_c State:F-7, Address: 790 SW Airoso Blvd.
Zip Code: 3 V 96r L1, Fax: City: Port Saint Lucie State:FL
Phone No. 77.X 519- / 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 TITLEHOLDER: _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 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
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.
j�
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA f STATE OF FLORIDA �1 t
COUNTY OF lA Le- COUNTY OF )7� tit
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of �� . 2()_ by this (� day of D11 20 by
(N am of person a ow{ ging) (Name of person acknow ie ing)
(Signatur f ubli State of Florida) (Signat e N ubliic-State of Florlda)
Personally Known ,,f6 UCe 1-d�rkig ¢ igmENCH Persona y Known_�ORP fp ced Iden1J iS13 iorFRENCH
Type of Identification li Pia'• to of Florida VT e of Identification Pr tl `=
WO;aqyp War Puhlic-State of Florida
- 4 n •= My Comm.Expires Dec 1,2017
^?_ My Comm.Erpires Dec 1,2017 !' l °03 q�l�sion TM FF 069924
Commission No. ¢op: d )�sion # FF 669924 Commission No.l l7 h <
oo-,,`
'''4"FOP F��P�, Bonded through National Notary As •...... �' Bonded 1nrough National Notary Assn.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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DETAILED DESCRIPTION OF WORK: 2 71 1
,�'7'a�ii'r.,.� w�T' thc_. 13W.C1�• f��c�. a+T Gr�.•v�cr^ �!' 1-Eac.SC �GT 1"c, �+t ��ti.fS P'�/'cr•Tr Lr`nL
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Pr;�,�r T`✓ j;)"in %urn h-ct 410 n/ani rhe- L c F7- /P ap..-f-r c..., c Td 'r'l e �a-a•z r-a i'-
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tr �r
CONSTRUCTION INFORMATION:
—Additional
work to (e�]e Orme under this permit-c ec a appy:
C�HVAC U Gas Tank Gas Piping _Shutters MWindowss/Doors
Electric Q Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: Sol Ft.of First Floor:.
Cost of Construction:$ Utilities 1 Sewer O Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name k c./ y hfa f✓crs o Name:ScottPeters
Address: 600 / CA*4s5 'r-% L)--. :Company" A(1 Indian River Fence
City: FT-- il%-r c C State:r-1. Address: 790 SW Airoso Blvd.
i
Zip Code: 3 V SW X Fax: City_ Port Saint Lucie saatp•FL
C
i
i,eun advised NO structures
ran i;o erected within any easement or
nghr of way unless o e 'se approved.
D. 0' Applicant Initials
P L,,K< l
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VIII m� Leo +�
(, 00 / C� s� ft � D,