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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 31_ 1��� Permit Number: 630 RECEIVED Building Permit Application MAR 13 2018 Planning and Development Services Building and Code Regulation Division ST. Lucie COunty, Pernlltting 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential 1 PERMIT APPLICATION FOR: Fence PROPOSED IMPROVEMENT LOCATION: (' 6// U �(�a('/r� C I- Address:_ 9 y/ b lel//N W ' / Ft L r- / Legal Descrip cont "7� //h ,6r e 1 s CGI(.t D Property Tax ID#:_^�i_�0"_ 6 d — y S ' b (� Lot No.- _ Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: � .0 �1" ti i,vvv� SLiac%, cc)"I-e.• Or /1ov5< y© //�� �tCross To S;c/� /-,u�et,ry /� +� C t )Dow/1 ��' ti 15;d e- /.'n < A C e 0 CJ-C P,--,O y /:H ..C/ a/vnq s;d� -��t-rt,; J: ^ t 7'�cn across j o Tlr< 13atfC C 0,-n r o i- He v 7C , Vv ,` l /< G MY-c CONSTRUCTION INFORMATION: Additional work to be Dertormed under this permit—check all M appy: HVAC LI Gas Tank []Gas Piping _Shutters Windows/Doors 11 Electric Plumbing Sprinklers []Generator Roof Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ a0tV3 Utilities:11 Sewer 1:1 Septic Building Height: OWNER/LESSEE: i CONTRACTOR: Name Name: Scott Peters i Address:a 4-1 C it . Company:All Indian River Fence City: 0 r t P i Q+ State: Address: 790 SW Airoso Blvd. Zip Code:�S!V Fax: City: Port Saint Lucie State:FL Phone No. 7 7 1 7 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: I 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: Not Applicable , MORTGAGE COMPANY: Not Applicable ! Name: ; Name Address: i Address' i City. State-. 1 City: State: Zip: Phone: I Zip: Phone: ^FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY- Not Applicable i Name: Name: Address: Address: City: I City: Zip: Phone: i Zip: Phone: I 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 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. ignature of Owner/Agent/Lessee Vignature of Contractor/Llcense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Lir COUNTY OF The for oIng instrument was acknowiedaed before me t The forgoing lnstru ant was acknowledged ore me i this 7 day of Zn1 by 1 this day of 20 y (Name of person acknowledging) (Name of person acknowledging) ll l I (Signature of ary ubGc-State of Fiori a (Signature of No u lic-State of Florida) 1 Personally Known V OR Produced Identification Personally Known �".-� �,A , ro uce =itp � , Type of Iden Tyae of IdentificatioA` tit-Ship nf Florid '101 CATHY CATHY J ROBERTS '•„ ; Commission#FF 221708 ♦� �B ?.,. Commission Notary Public-J�qf Florida Commission No. oTc my Comm(%*Os May 1^,2018' =• *•_ ommission#FF 221708 "�` Bordedthrough National NotartAssP..r; =s ,�T My Comm.Expir { .— ",f=••`` Bonded through National Notary Assn._ Revised O?/f Sf ^�°�}a.•,a REVIEWS FRONT ZONING j SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW I REVIEW REVIEW REVIEW REVIEW REVIEW I DATE j I COMPLETE INITIALS