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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 04-06-2018 Permit Number: RECD vim APR ds . _ l9 Building Permit Application Ae ti�ingpe� LucieAt Planning and Development Services County Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential YES PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION, o Address: 7505 BELLEAIR AVE. Legal Description: LOT 24 BLOCK80 LAKEWOOD PARK UNIT 7 Property Tax ID#: ��® 1 - wof?• N?S •no©s Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION'OF WORK F INSTALL 6FT. WOOD PRIVACY FENCE TO ENCLOSE REAR OF LOT FENCE WILL HAVE 2 GATES AND IS COMPLETELY WITHIN THE SIDE LOT LINES AND CLEAR OF REAR EASEMENT CONSTRUCTION INFORMATION F Additional work toe oertormed under tis permit—check all appy: �F_IHVAC _Gas Tank E]Gas Piping _Shutters Windows/Doors i❑Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: i Cost of Construction: $ Utilities: Sewer Septic Building Height: I OWNERAESSEE F CONTRACTOR A Name JOHN B.AND BRENDA T.WILBON Name: DOES NOT APPLY Address:7505 BELLEAIR AVE. Company: City: FORT PIERCE State:FL. Address: ZiIp Code: 34951 Fax: City: State: Phone No.772 466 1871 Zip Code: Fax: E-Mail:babe2night@yahoo .com Phone No. Fill in fee simple Title Holder on next page (if different E-Mail: from the Owner listed above) State or County License: If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. .i SUP'PLEMENTRL C0NSTRUCTIQN LIEN LAIN INFQRMATPQN � Nam w�.,:. .9�. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable e:JOHN B.AND BRENDAT.WILBON Name: DOES NOT APPLY I Ad dress:7505 BELLEAIR AVE. Address: 7505 BELLEAIR AVE. i City: FORTPIERCE State: City: State: Zip: Phone Zip: Phone: IEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable Name:SAME AS ABOVE Name: Address: 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. StJ 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. Th'e 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 co I mUiQncing work or recording our Notice of Commencement. S20dure of Owner/Lessee/Contractor as Agent for,Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF :Lsu.eav COUNTY OF I he forgoing instrurnent was acknowledged before me The forgoing instrument was acknowledged before me this day of ` 20 by this day of 20_ by NaA of person making statement Name of person making statement Personally Known OR Produced Identifications Personally Known OR Produced Identification Type of IdentiV�. on Type of Identification Producedi�) Produced i I I (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida ) z�- m�:: SeaF- :•� Commission No. ( L�ISNA�NA 1NGRAM Commission No. (Seal) a°n .%: Notary Public-State of Florida •: °a -z My Comm.Expires Dec 20,2018 %, a.•' Commissioi#FF 177249 I ,•�OFF�°�� rough da' REVIEWS FR '"""" N' �94� I PLANS VEGETATION SEATURTLE MANGROVE CO N E REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 I f I I