HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3`13 1� Permit Number:
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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 X
PERMIT APPLICATION FOR: Fence
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Address: 1103 TILTON RD PORT ST LUCIE FL 34952
Legal Description: ST LUCIE GARDENS 23 36 40 BLK 3 LOT 4 LESS S 10 FT AND LESS RD RNV
Property Tax ID#: 3414 501 0704 000 3 Lot No.4
Site Plan Name: BESSEMER Block No. 3
Project Name: FRONT FENCE
Setbacks Front 57'OFF C/L Back: Right Side: Left Side:
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DETAILED DESCRIPTION QF WQRK. `
FURNISH AND INSTALL 300 LF OF 5' H ALUMINUM FENCE. FENCE IS SETBACK 57' FROM
CENTERLINE OF TILTON RD AND IS BELOW THE CROWN OF THE ROAD
CONSTRUCTf ,N (N"FORIVIATION `
itiona worKtobenertormed under tispermit—check all f5t appy:
OHVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
0 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 20845.00 Utilities: _Sewer E Septic Building Height:
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OWNER/LESSE'E. :4
CONTRACTOR.
Name WILLIAM BESSEMER Name: ROBERT GREENE
Add ress:1103 TILTON RD Company: MARTIN FENCE CO
City: PORT ST LUCIE State:FL Address: 862 13TH STREET
Zip Code: 34952 Fax: City: LAKE PARK State:FL
Phone No.772 201 3500 Zip Code: 33403 Fax: 561 848 4466
E-Mail:WI LLIAMBESSEMER@ATT.NET Phone No. 561 848 2688
Fill in fee simple Title Holder on next page(if different E-Mail: NGREENE@MARTINFENCE.COM
from the Owner listed above) State or County License: U10591
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLE'MENAL CONSTRUCTION LIEN`LAW IINFORMATIQN ,
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: 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 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 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 b ecorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, conspoit
h nder or an attorney before
commencing work or recording our Notice of Commencemen .
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_Signature of Owner/Lessee/Agent Ign a of CofilrrifflyNcense older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF PALM BEACH
1
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
j this Vk day of M fl�Nc H 20 Eby this 12 day of MARCH ,20 IS by
WILLIAM BESSEIiER ROBERT GREEN
(Name of ers n a ,nowledging) (Name of erso-'ac owledging)
( —_ ie u State of-Werida)-- -
""r lic
N BEEN
Person I 003, 1AGRawi tion Personall OR WtJ�.®NdSfdEEWtificati n
Type o icon r0po Type of Id .i °I�rotdlltwublic-State of Florida
�`�= Commission#FF 964476
'•;re My Comm.Expires Feb 25,2020 My Comm.Expires Feq��a�p20
Comm siofr'9ii�`` Seal Commissi ,yo
Revised 07/15/2014
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