HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO/))MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�
Date: 9 �7• )7- Permit Number: /'d%• 0
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Building Permit Applicatio
Planning and Development Services SEP 13 2318
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial esUentiattre. County, FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 2860 Rainbow Drive Fort Pierce, FL 34981
Legal Description: 5 36 40 FROM NE COR OF N 375 FT OF S 1/2 OF NE 1/4 OF SE 1/4 RUNW 1093.4 FT TO POB,TH CONT W 100FT,TH S162.50 FT,THE 100 FT,
TH N 162.50 FT TO POB-LESS THAT PART LYG N OF COMMON BOUNDARY ASESTABLISHED BY BDRY ADJUSTMENT IN OR 232-433-(25)(0.35 AC)(OR 4114-2798)
Property Tax ID#: 3405-413-0005-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Installing a 6' tall shadowbox fence from the house on each side that ties into the neighbors fence on
each side. Approximately 25' on each side. One gate installed on each side. See attached pictures.
CONSTRUCTION INFORMATION
Additional work to be performed under this permit–check all hat apply:
HVAC Gas Tank Gas Piping .Windows/Doors
p g —Shutters ❑
Electric ❑ Plumbing Sprinklers _Generator P Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ $1000.00 Utilities: _Sewer El Septic Building Height:
OWNERJLESSE : ` CONTRACTOR:
Name Military Warriors Support Foundation Name: Joel Percy
Address:211 1604 East 50 Company: Integ-Crete Construction
City: San Antonio State:TX Address: 10550 W Midway Road
Zip Code: 78232 Fax: City: Fort Pierce State:FL
Phone No. Zip Code: 34945 Fax: 772-252-5285
E-Mail: Phone No. 772-577-1449
Fill in fee simple Title Holder on next page(if different E-Mail: joel@integcrete.com
from the Owner listed above) State or County License: CGC1523363
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION`: 3 . : ,�r ;u:,
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address. Address:.
City: State: City:! State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 your Notice of Commencement.
....„--,---1
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Signature of wner/ -ss••e ontractor as gent for Owner Sig ure of Contras or/License Holder
STATE OF FLORI 5,42 1 STATE OF FLORIDA C,
COUNTY OF I..UGQ_ COUNTY OF vk-. Ll k_CALL_,
The fS�P.oin instr me t was acknowled before me The forgoing instrument was acknowledged before me
this.
�`'8 y of 2Q Q('t\'bS)...S ,20\41A by this ker•day of Qirnbkr ,20 I$ by
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f person making statement Name of person ma ' g statement
Penally Kno n OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Notary Public-Stat lori.- _ (Sig 11 'e o otary Public-Stat-..er Flori ) s. i0 `t0- ''1/4
P� „mss •,..p�B.;'•.:6-41::°.t.4.44.6%*
Commission No. \a-k\" stt -aiev-1 Commission No. D�4.e'ass
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REVIEWS %.t*1.„ °, W. iii' SUPERVISOR PLANS VEGETATION URTLE . MANGROVE
s n'<''' R ` 1 IEW REVIEW REVIEW REVIEW •EVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17