HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
riiiiili 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 ResidentiaR( �
PERMIT APPLICATION FOR: Fence a
PROPOSED IMPROVEMENT LOCATION:
Address: \ \ 4 w eo ere e,� LD . �§tuj UR )FL "649S, I .
Legal Description: QCA '?-S ctr lrc\\ctn .g_,ver- l-ot s
Property Tax ID#: '\S oq- 801-0008- QOO - ' Lot No. S
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK: ..
tn')tllt, L\CcD' of�· tl\J\ cuum\(\u,0 ffnc -e_, vv\rh 290._t-e{ Clr\CX er O r(Q' rctl \
-v \Jc H:ne,e.,
I CONSTRUCTION INFORMATION: .r I
Aaait1ona1 work to o!e jrrormea unaer tms permit check all apply: D Windows/Doors L OHVAC Gas Tank DGas Piping Shutters -
DElectric D Plumbing Osprinklers OGenerator ORoof
Total Sq. Ft of Construction: so of First Floor:
Cost of Construction: $ l � 1-CQS Utilities: Sewer D Septic Building Height:
OWN ER/LESSEE: CONTRACTOR: ,:\ -.
Name -:-nn O<YV1 r. � �Snov Name: . To1Ci m ·\{1..YD. 1 no J
Address;£:: �'fr?°�\ ,0 Company: StlQf,r' \ t)( f(t'\(f anct f<-Oi l \
State ti.--- Address: 2..11 B N. t\()JbD( rCttJ B)v°'-· City: · i- C-l 0
Zip Code:CA-QSl Fax: City: YY\{1\0DOYf\:f. State:r'L
Phone No. Zip Code: "J 1. q � � Fax:
E-Mail: Phone No. 32\ · (Q:)(e '2. <o2 C\
Fill in fee simple Title Holder on next page ( if different E-Mail:
from the owner listed above) State or County License: )_{J�Cj
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: -----------------� Address: ----------------� City:-------,--------------
Zip:----- Phone:-----------
Name: _
Address: ------------------ City: _
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 be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commend or recordin our Notice of Commencement.
STATE OF FLORIDA q.-. COUNTY OF '--l)J_l.LLJ
The ')Aoing instrnfunt was acknowledge<l:qefore me
this day of\2\t \ \ • 20 .il)by
(Name of person acknowledging )
Revised 07/15/2014
STATE OF FLORIDA 3\:\J COUNTY OF \ . UL\ ( )
The forgoing instrument w�s acknowledg\'ttefore me
this U- day of ro °'\./ I 20 by
\odo tb :Tuw\\Qe)
(Name of person acknowledging )
Personally Known \£., OR Produced Identification _
Type of Identification Produced _
REVIEWS
DATE
COMPLETE
INITIALS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR PLANS
REVIEW REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW