HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I�,_I Permit Number: I3
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Building Permit Application
Planning and Development Services DEC 9J 1Q�I
Building and Code Regulation Division of ,.
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2300 Virginia Avenue, Fort Pierce FL 34982 St e County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residentiatl"
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 6602 palomar pkwy
Legal Description: LAKEWOOD PARK-UNIT 12-A-BLK 173-A-LOT 13-LESS E 63.71 FT-(MAP 13/13N)(OR 3639-2559)
Property Tax ID#: 1301-615-0137-100-5 Lot No.13 less E 63.7
Site Plan Name: Block No. 173
Project Name: Palomar
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
50Lf of 4ft chain link fence. (1)Double gate 6' wide. 12Lf of 6ft chain link fence with (1) single gate 3'
wide
4 2,l
CONSTRUCTION INFORMATION:
Additional workto leperformedunder this permit–check a appy:
HVAC L_I Gas Tank —]Gas Piping Shutters 11 Windows/Doors
Electric ❑ Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 400.00 Utilities:Sewer O Septic Building Height:
OWNER/LESSEE: ' �J.Name.CONTRACTOR:
Nam C /�✓V� 1L�1 ►'L'Pr"C� MICHAELCONRAN
Address:1001 S.E MONTEREY RD Company: CONTRACTOR SERVICES OF SOUTH FLORIDA LLC
City: STUART State:FIL Address: 1001 SE MONTEREY RD
Zip Code: 34994 Fax: City: STUART State:FL
Phone No.7723613227 I Zip Code: 34994 Fax:
E-Mail:SFCONTRACTOR@YAHOO.COM Phone No. 7723613227
Fill in fee simple Title Holder on next page( if different E-Mail: SFCONTRACTOR@YAHOO.COM
from the Owner listed above) State or County License: CBC1261632
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:MICHAEL CONRAN Name:MICHAEL CONRAN
Address:6602 palom.,pkwy Address: 1001 S.E MONTEREY RD
City: STUART State: City: STUART State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address:1 001SE MONTEREY RD Address:
City: City:
Zip: 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
before the first inspection. If you intend to obtain financing, consult wit le der or an attorney before
commencin o or rewrdi-ng your Notice of Commencement.
f _ -
Sig4afure of Owner/ ssee/Contractor as Agent for Owner Signat6P6 of Contra cto-/License Holder
STATE OF FLORID STATE OF FORI
,•
COUNTY OF _-. I ICO L COUNTY OF'
The forgoing instrument was acknowledged before me The forgoing instr mennt w,�as acknowledg before me
this ( day of h&-; 20,f� by this_L day of C, ,20_a by
W\�G�,►4��_b n EAR til i bito I—a kI 2 L, 0
Name of person making statement Name of person making statement 41/
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identif ion
Produced_ Produced
Cp--�
(Signature of Notary Public-State of Florida► (Signature of Notary P -
.`" M.RY e,�Y KAREN S. NIELSEN
Commission No. "Y' KAR� �1 NIELSEN Commission No. __ Comm(Seal)a FF 115637
Commission # FF 115637 - M Commission Expires
My Commission Expires y June 1 2, 201 8
`„°;;;,••' June 12,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED J_
DATE
COMPLETED
Rev.8/2/17