HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: T's Permit Number:
RECEIVED
Building Permit Application JUL 9 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitt1
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 3
Legal Description:T �/�(' ��5,'- ��,�Vef i � �/� 7 �v 0
Property Tax ID#:3�`I j� J 3d= �d�`tea d 9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: 1.
9.3 a " a F 6 ' 11.' 4 8-4ceJ -04. 130ArcJl wdod r=e,,vG R f 5,-De- AAIW-i-
13' &-t;l 1* /o'DOV Ve_ Vr,.'vc- 1?,9e-K t 13 �F¢'ory QACk Al,ue. APPro), 90 .
o�► 4 F A S%D e f6' o v w A I- 5 'w r4 i k'
CONSTRUCTION INFORMATION:
Additional work tobene orme under this permit-check a appy:
HVAC i_!Gas Tank ❑Gas Piping _Shutters Windows/Doors
0 Electric 0 Plumbing O Sprinklers 0 Generator Roof
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
o v _
Cost of Construction:$ �j 33. . Utilities: _Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name \k//)-) a I ( Name: Scott Peters
Address:_3 a 2 rX U Company:All Indian River Fence
City: State:_ Address: 790 SW Airoso Blvd.
Zip Code: Fax: City: Port Saint Lucie State:FL
Phone No. 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:
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: 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:
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.
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 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.
Signature of Owner/Lessee/Contractor as Agent for Owner Signa re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID I
COUNTY OFS+L_�OA_ e_ COUNTY OF �1-
The forgoing instru en�wasacknwledgeeore me The forgoing instrumen was acknowledgeefore me
this day of 20 by this jXday of P20Lby
C.TC.�S
Name of person rpkmg statement Name of person aking statement
Personally Known !/ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Z20 I A�a_4 t3l 1J
(Sig tur, aryPublic-State fFIs-ir a,) CASEYFRENCH atur of of -S CASEYFRENCH
//''//'' 9,= Notary Public—State of F orida �7 '"�,,Y �: Notary Public—Stale of Florida
Commission NO.(x(L' 1p 1 t� a1) Commission#GG 167 5lCo mission No. �� ( ; ' •= ission#GG 167258
:My Comm.Expires Dec 11 2021
•
o`:`My Comm.Expires Dec 11,2021
Bonded throughNaVonal Nota5 Assn. ��"'," Bonded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17