HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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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 x
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 964 FRA MAR PL, Fort Pierce, FL 34946
Legal Description: WAGNER S/D BLK 2 LOTS 3 AND 4(OR 3824-1964)
Property Tax ID#: 2427-702-0045-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Fence
Setbacks Front Back: Right Side: Left Side:
E DETAILED DESCRIPTION OF WORK:
Wood Fence In Rear of Property 6'High . -'gerLuT'i6A OC -wcz',
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit—check a apply:
HVAC M Gas Tank E]Gas Piping _Shutters Windows/Doors
11 Electric ElPlumbing Sprinklers Generator F] Roof
Total Sq. Ft of Construction: 3590 5 . Ft. of First Floor: 3590
Cost of Construction:$ 1.500.00 Utilities:]Sewer 1:1 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
N a me JBM Import Corp Name: Roderick'A'a Ile r
Address:PO Box 86 Paramus Company: Sunrise City CHDO, Inc.
City: Paramus State:NJ Address: 3550 Okeechobee Rd
Zip Code: 07653 Fax: City: Fort Pierce State:FL
Phone No.201-681-3003 Zip Code: 34947 Fax: 772-907-0420
E-Mail: Phone No. 772-201-2850
Fill in fee simple Title Holder on next page( if different E-Mail: rodwaller1@gmail.com
from the Owner listed above) State or County License: CGC1515114
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 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.
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_Signature of Oner/Lessee/Agent Signature of Contactor/License Holder
STATE OF FLO IDA STATE OF FLORIDA
COUNTY OF S)ir. COUNTY OF S+_ Luce
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this \ day of S)e•C. , 20 Eby this_A_day of 20 _a_by
IKgb�Qc �C, k wa, 0, c'\ ck \\*.f
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota Public-State of Florida } (Signature of Notary blit-State of Florida )
Personally Known OR Produced IdenPersonally Known _OR Produced I
Type of Identification Pro Pic—oit:GIVENS Type of Identifi_- - it
—
(AISSION#GG 0720 U ISSION#GG 022023
Commission No. MY P� �xmbe06.20`Ote� Commission .Decembe��'- 0
*' °= d Thr'Notary Public Undenvr '*; ;o` n Notary Public Undefw"
�rE• •��; Bonde :r.....0'
Bonded Th
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS