HomeMy WebLinkAboutBuilding Permit Application i
-ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �1 ,1
Date: 3/12/18 Permit Number: i�O IJ � 00 -7
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Building Permit Application I,
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 i v �
Phone:(772)462-1553 Fax:(772).462-1578 Commercial Residential X
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PERMIT APPLICATION FOR: Fence i I' El
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PROPOSED IMPROVEMENT LOCATIO.N;: ;.
Address: 6104 Raintree Trail
Legal Description: INDIAN RIVER ESTATES-UNIT 09-BLK 83 LOT 16
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Property Tax ID#: 3402-610-0368-000-3 I 1 Lot No.
Site Plan Name: Coen Fence Block No.
Project Name: Coen Fence
Setbacks Front25+ Back: 4" Right Side: 4" Left Side:I4- r
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DETAILED DESCRIPTION OF'WORK ! �i'
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Install 6' High Wood Board on Board Fence with 2 walk gates, fence is being installed as a pool barrier
with self closing gates swinging away from pool and latches at 54" high
CONSTRUCTION.INFORMATION..
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!Additional work toe nertormed under this permit—c ec a appy:
HVAC 0 Gas Tank E:]Gas Piping _Shuttersi' Windows/Doors
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El Electric El Plumbing 'Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:i I i
2300.00
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Cost of Construction:$ Utilities: Sewer Septic ' Building Height:
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OWNER/LESSEE CONTRACTOR: `I
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Name Cindy Coen Name: Michael Alderman
Address:6104 Raintree Trail Company: Veterans Fence Contractors Inc
City: Ft Pierce State:FL Address: 2100 SW Conant Avenue
Zip Code: 34983 Fax: City: Port St Lucie I State:FL
113hone No. Zip Code: 34953 . I Fax: 772-879-1009
E-Mail: Phone No.
772-6782358 i
!Fill in fee simple Title Holder on next page(if different E-Mail: eddie.alderman@yahoo.com
I CBC-045563
;from the Owner listed above) State or County License:
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if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTLONLIEN LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE C MPANY: Not Applicable
Name: Name:Michael delnarA
Address:s, a e Address: oa
City: Ft Pierce State: City: Part St U- State:
'Zip: Phone Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
AddresS:2100sw o nt a Address: I
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.
li certify that no work or installation has commenced prior to the issuance of a permit.
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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 concurrencylreview 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 a orney before
commencing work or recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA, STATE OF FLORID/4I
COUNTY OF GyGc`G COUNTYOFt
The forgoing instrument wa acknowledged before me The forgoing instrument was cknowledged before me
this J day of � v 20�y this�day of �J�. !/ °— 20� y
Name of person making statement Name of person making statement
Personally Known�OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification' 11►11N1111!!
�IIIIIIIIIIN!! � \\� !!��/
Produced \\� RK AR!•/{�r�i��� Produced ��\\\�\ iass ION
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•,cp ,VSTC12Oi•' GUST Vi
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(Signature of Notary Public-StaEe*f.Florid4*.n :*_ (Signature of Notary Public-StaS offIoridC' *—
S :y #W 093623 j f Z 0 0 093823
Commission No. 0, f.,0 0.y\per` Commission No. �y; ll0 .0•Rq�a
�i�'Pf. P6lk Unae •' 04 Z �' He Una �O
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17