HomeMy WebLinkAboutFENCE - RESIDENTIAL All APPLICABLE
.J INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Date: /" — s Permit Number: 12of® ®oc0�7
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:
Legal Description: Lr(vl hdck v
Property Tax ID#: _ a —da�� D� Lot No.
Site Plan Name: r I 1 5 3 h50 v1 Block No.
Project Name: f- iyi? r°Lp \, _
Setbacks Front Back: Right Side: Left Side:
Owln.I" ti a
tS=nK-
AR
itiona wor to be pertormed unclerthispermit-check all that appy:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing. _Sprinklers Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor.:. ;
Cost of Construction: $ 5sD Utilities: _Sewer Septic Building Height:
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Name 1 (S J 11'CO 4 Name{
Address: I '�S Company
City: rfi 0 I ,O(_,e State:-FL. Address:
Zip Code:s7AV Fax: City: State:
Phone No. Zip Code:
E-Mail: Vt QL ,b Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) Stateor unty License
Evalu
e of construction is 2500 or more,a RECORDED Notice of Commencement is required.
AWA k
DESI RANGINEER: Applicable MORTGAGE COMPANY: Not ApIlficable
. Name: Nam .-
Address: Address:
City! State: City: State:
Zip: Pho Zip: Ph e:
FEE SIMPLE TITLE OLDER: _ of Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNERJ 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'#mmenced prior to the issuance of a permit.
St.Lucie Counter rime.kes no representation'that is granting a permit will authorize theermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,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, I do hereby agree that l 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 ouecording your Notice of Commencement.
Signature of Owner/ ssee/Contractor as Agent for Owner Signature of Contra ctor%License Holder
J
STATE OF FLORIDA C lV COUNTY FLORIDA
COUNTY OF )�
The fo oing instrumnQtr\
was acknowledged before me The forgoing instrument was acknowledged before me
this day of 200 by this day of .20_ by
Name of person making statement. Name of person making statement. '
Personally Known OR Produced Identification V Personally Known OR Produced Identification
Type of Identifi tion,�n` \ Type of Identification
Produced Produced
MARIA CORDERO
(Signator f otary Pul5li -St 'd' ARY.PUB (Signature of Notary Public-State of Florida)
STATE OF FLORIDA
Commissio o. r �- FTS Commission No. (Seal)
AMW Expires 5/21/2019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED,
ev.8/21/17
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