HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -
Date 1/26/2018 Permit Number: l 1. U 607 0
Building Permit Application-
Planning and Development Services -
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 JAN 2 ZO1�
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION
Address: 6502 PALOMAR PKWY
Legal Description: LAKEWOOD PARK-UNIT 12-A-BLK 173-A LOT 11 (MAP 13/13N)(OR=3639-2559)
Property Tax ID#: 1301-615-0135-000-0 Lot.No.11
Site Plan Name: Block No.-173
Project Name: 0502.
Setbacks Front Back: Right Side.' Left Side:
DETAILEDbi.DESCRIPTION OF WORK.
Install 100 ft of 4ft chain' link fence
6' dbl walk gate
6'single walk gate
4' rib' mialk Clate
CONSTRUCTIONINFORMATION-
Additional work toe nerformed under this permit—check a appy:
C�HVAC Gas Tank Gas Piping Shutters Windows Doors t
Electric Plumbing Sprinklers 0 Generator EIRoof Roof pitch
y.
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 400 Utilities: _Sewer E]Septic Building Height:
OWNNER/LESSEE CONTRACTOR
Name CSC INVESTMENTS PROPERTY LLCName: MICHAEL CONRAN
Address:1001 S.E.MONTEREY RD Company: CONTRATOR SERVICES OF SOUTH FLORIDA LLC:
City: STUARTState:F� Address: 1001 S.E MONTERY RD
.Zip Code: 34994. Fax: City: STUART State:FL
Phone No.'7723613227 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.
SUP,,PLEMENTAL CONSTRUCTION-L tN:LAW INFORMATION'
DESIGNER/ENGINEER:_ _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:CSC INVESTMENTS PROPERTY LLC Name:MICHAEL CONRAN
Add ress:6502 PALOMAR PKWY Address: 1001 S.E.MONTEREY RD
City: STUART State: City: STUART State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: _ Not,Applicable
Name: Name:
Address:IODI S.E MONTERY 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. -
Iri 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 a4ditions,
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
commenci work oy?ecordjng your Notice of Commencement.
N �
LU
O
Signatu a of Owner/Lesse /Contractor as Agent for Owner Signature&Contractor/Lice se.Holder _.
STATE OF FLORIDA STATE OF FLORIDAm B
� COUNTY OF COUNTY OF
• C�� 2
m
The forgoing inst ent was acknowledged before me The forgoing inst ent was acknowledged befo me
this day of 2611 by thi�day of 20�-by ;0 L'
J
Name of person making statement Name of person making statement
pallynown OR Produced Identification Personally Know OR Produced Identification
141 Of Iden ' I t' n Type of Identif'icat
tftl iced Lit if C/ Produced
UJ -
E
ature of Ncyry Public-State of Florida) (Signature of N t Public-State of Florid
ission No. (Seal) Commission No.- - (Seal)
REVIEWS FRONT .- ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW_ REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17