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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED O� Date:�' Permit Number: RECEIVED C�8 Building Permit Application JAN 18 2 Planning and Development Services ST. 6Hcie County, Permitting Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential v/ PERMIT APPLICATION FOR: Fence PROPOSED IMPROVEMENT LOCATION: Address: -S/ O '7 D c r au v, I)r-. Legal Description: //o T 41-15 Property Tax ID#: 3 13 - So 3 - o o.qo - Ooo - 1 Lot No. yy3 Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: i4"5A wv0�l P,r-rylav - and A -e olo, Lt!eot 1--enLc 51-c(rrTrn5 gPProX �i A/!" way !JO ✓.n T-/-, 14-0 list c) h L c l=l _S u( L 9 0 1 Td ., t w to / - Wc,I K (�aTL aid 0(0",,-1 T-A t Th �crry � / 4,rF7—Pr,0,0t TY L;N e- To `C &AK /=C7C < CONSTRUCTION INFORMATION: Additional work toorme under this permit-check a appy: HVAC E]Gas Tank ❑Gas Piping _Shutters Windows/Doors Electric 0 Plumbing O Sprinklers Generator Roof Total Sq. Ft of Construction: SQ. Ft.of First Floor: ,o n Cost of Construction:$ o ©coo _ Utilities: Sewer D Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name mac e / 5,,,a, r-z Name: Scott Peters j Address: 5/v 7 ID<_ �V'I Jr I Company:All Indian River Fence City: Fr. State: Address: 790 SW Airoso Blvd. j Zip Code: 3 '/9S/ Fax: City: Port Saint Lucie State:FL Phone No. 7 '14 G-S ;t A9 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: w Not Applicable 1 MORTGAGE COMPANY: _Not Applicable Name: ; Name; Address: ; Address: City: State City: State: Zip: Phone: Zip: Phone: j FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: ; Address: City: I 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 represent tion 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 tine granting of this requested permit,I do hereby agree that 1 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. 1' A. Signature-of Owner/Agent/Lessee Signature of Contractor/L'+cense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ; COUNTY OF The f oing instru ent was acknowledged before me The fo oing instru ent was acknowledged before me i this dey of 2n ��by this day of _ 20J4 by r � n 4 4 �I J e l' '�n A 4 (Name of persoryacknowledging) f (Name a of Ipierson acknowledging) i i 1 v (Signature of Not ry Pubfc-State of Florida) (Signature of Notary Public-State of Fior:da) Personally Known OR Produ entification I Personally Known OR Produc dentification Type of Identification Produced Tyne of Identification Pr Commission No. i<A R E N%atN l E L S E N ; Commission No. ]iinl o n # FF 1 1563 7 Commission # FF 115637 Y 8 •�iss on Expires `� ❑ LSF or. - commission Expires i _ JUne 12, 2018 June 12, 201 8 Revised 07/15 _ REVIEWS FRONT ZONING i SUPERVISOR iPLANS VEGETATION SEA TURTLE MANGROVE COUNTER ! REVIEW I REVIEW REVIEW REVIEW REVIEW REVIEW I DATE COMPLETE i INITIALS i