HomeMy WebLinkAboutbuilding permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
S J
•
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: To Select from dropbox, click arrow at the end of line Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 53_10 cJi 0 , Otoe Tf Q,ll F�r-t P( trc_e i FL- S'(615 I
Legal Description:-i'S4 LAC) S'/a r,Q m\') V-k 0CM\1 1 i)'k nQCSE 4nC &l 14 -loss .tl be rY -(i.C440
�e1z Iq�-alt��
Property Tax ID k: I1�{ n�n-1 3 ij,�-00Q0 -rrC q Lot No.
Site Plan Name: //r U-o(�� �P11C S Block No.
Project Name: 1;:-e.♦1C Z
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Ii\s1-c� 5 ' 5a.Idcu.azd tkl oAr\ Wt f- c..e_ 3 ' Cd 4,0 )a ' dwbte dn`✓e�atrp.
+o rear o� proper-1,
CONSTRUCTION INFORMATION:
bona wor to e e orme under t ispermit-c ec a apply:
1JHVAC 0GasTank ❑Gas Piping In_Shutters Windows/Doors
11 Electric El Plumbing Sprinklers 1:1U Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $I r,i1 O i LT Utilities: 0Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Name: A. CfdrnberS
Address: 53-70 S)QSh Q,r___r e j Company: hI(.Irm )dr]P
City:Ford- PL .r-(_t State:_EL Address: j l�a QE Ian 3'.
Zip code: 349S1 Fax: City:nYL0( yytu State:
Phone No.-I-)a,-3.21 - 54 5-1 Zip Code:,3VI_71 Fax:-3L 3 -J Lo BUD
E-Mail: Phone No. �� a39- "al7�
Fill in fee simple Title Holder on next page( if different E-Mail:n1U lit 6 ac �ZUt a Con'I
from the Owner listed above) State or County License: I ac) I
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: of 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 Signature of Contractor/License Holder
STATE OF FLORID qq� STATE OF FLORI A
COUNTYOF OK>?Pfhobee COUNTY OF QOC hpig
The ficirgoing Instrument was acknowledged before me The for ing instrument was acknowledged before me
this day of�,20Alby thisMay of .1nrv,t0 NJ .20LI by
RM A Ciiambyq Pirm A 01- omhtp
Name of pers n making statement Name of person making statement
Personally Known OR Produced Identification Personally Known Y, OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature oro.',
ar (Signature of ary ubllc-S e f orlda
yyyyyy�p�iir JULIE SNELL �
Commissiony(��I+u t'1 Notary Pub ygteof Florida ", b:;•. ,JU_LL rut.
Commisslion tltlGG19587Y Commission No. E; Notary{ 'ifuGtate of Flog-'
My Comm.Expires Mar 13,2022 ' ' f1 Commission 1GG1958h
" Bonded through National Notary Assn. �.?rM,ir;!� My Comm.Expires Mar 13,2't�
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
���yy}J OKEECHOBEE VERO BEACH SEBRING JUPITER STUART BELLE G E FORT PIERCE
`" ` \7 (863)7636255 (772)562 0022 (863)385 4493 (561)7441303 (772)283}1540 (561)924-34 9 (772)46S311- I89?-
• ' '
1 1
1
JOB NAME: KY'�� -f a^IAT
DATE:JOB ADDRESS: a u i ��—� _ CONTACT:) L
T, -i 'I ; Y v r- 1� 1'- h`'l "� PRONE.
MAILING ADDRESS: MOBILE:
FAX:
EMAILADDRESS: �A<t'c4i LPG} JOB #: 6
DIRECTIONS:
PERMIT
`f M
STYLE FENCE S/ l %1 �1.Z�1` -- Y1 �F rove-1 d
YC> iv w ilz r j� Ci i =n -., ; L —1,
POOL CODES U 1 NO 1 P
i/)cL�deS Leon i F
HEIGHT f FOOTAGE� 4
HEIGHT FOOTAGE girl pW�ef T"p 4 ie•
� / SELVAGE
WIREILIl CIA -
�� e LINE POST KI e
TERMINAL POST ?J e - ,,.A ``" T•f RP
POS7 R
TOPBRACEBOTTOM RAIL G.0 l�re
TENSION WIRE /� 88 IIS
BARBED WIRE
WALK GATE_GsiE=FRAME
WALK GATEC;2�_SIZE --FRAME
k"l l
CONCRETE
Wt&K GATE POST 1� 1�- s qz p
ILILME / SIZE FRAME) 8 ��L
' Q���,s,,T�, CONCRETE
DRIVE GATEPOST nSLZ 1
�AGTEATE SIZE FRAME
WNi;Ft�e 1 �
DRIVE GATE POST (Adron Fence is not re4onsible fo being directed
CORE DRILLIASPHALT to dig on top of any unmarked lines.)
ym
PROP.LINES CLEARED e NO V I CUSTOME PP�,OVAI;
PROP.MARKS VISIBLE N0 COST W EPOSI N
SPECIAL INSTRUCTION� /�0 d d car TERMS ) 3 O /2 i clrj
t If 5 / •
THIS PRICE EFFEC UNTIL
® PERSONNEL
INSTALLERjj li"If DATE
C LI/Z1
t. OKEECHOBEE VERO BEACH SEBRING JUPITER STUART BELLE G E FORT PIERCE
}� (863)763-6255 (772)562-0022 (863)385-4493 (561)7441303 (772)283-4540 (561)924-34 9 (772)46S369Z0
: 11 CING • , �
t 1 a
JOB NAME: DATE:
YC� : 1
15
JOB ADDRESS: te�'� 1 J�C` �} � CONTACT:) CI
MAILING ADDRESS: MOBILE:
FAX:
EMAILADDRESS: 1 Ct- i LP'E} JOB #: 1116
DIRECTIONS:
R PERMIT#:
STYLE FENCE ,[�,�1
vEs
POOL CODES � "C J
� ;nCLvcQeS I�e(m
HEIGHT —_ FOOTAGE — — / �. O Ve 9/'4 e_ J
HEIGHT FOOTAGE +�r/ SELVAGE ow17 of Tp
! b
WIRE o
POSTLINE
POST l/g X� CONCONG�
TERMINAL
POST SPACE KI l2�
TOPlBRACEBOTTOM RAIL O.C.
TENSION WIRE
BARBED WIRE
WALK GATE G��IZE FRAME [,�\
WALK GATE `C�-SIZE ""�FRAME
CONCRETE ' rbz
MW K OnTE P06T
y2 ��
GATE SIZEL2 FRAME
/ X)/. CONCRETE
DRIVE GATE POST o Z 6
DRIVE
GATE_SIZE -FRAME
CONCREi� 1�l \
DRIVE GATE POST < (Adron Fence is not re4ponsible fo being directed
CORE DRILL/ASPHALT v to dig on top ofonyunmarked lines.)
PROP.LINES CLEARED E No CUSTOMER APPROVAL. ,JI► �a�i -�
PROP.MARKS VISIBLE_qp�� NC COST EPO$I
SPECIAL INSTRUCTiOd 60 TERMS I 3 O /e r Urj
( 9 /.l 1—I P 5T THIS PRICE EFFEC E UNTIL
PERSONNEL
INSTALLERa Ifi4f DATE
10'
5'
e
Q � yn 1I
8- �A�Va� r2Ea t� 6„
N Ic . ^CA-
ADRON rear MO. . INC.
OKEECHOBEE, FLoalm 34972-2337
(800) 282-5172
DAAWN BY: 8C1WC: 1K1FIL BAGZ:
awns=; VIES: i of 1
5'
o i
36" � 28"
8" GALvA
Anaou rs&"w m. . nic.
1
OKEECHOBEE, rLoRmh 34972-2337
(800) 282-5172
scant: mm mica:
' PZVIs&n: I , of 1