HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
50`1171_=��
•
pp 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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 300 Holly Avenue, Port St Lucie, FL 34952
Legal Description: River Park- Unit 2- Blk 19 Lot 29
Property Tax ID #: 3419-510-0260-000-1
Site Plan Name: Bruhin Fence
Project Name: Bruhin Fence
Setbacks Front 25+ Back: 4"
DETAILED DESCRIPTION OF WORK:
Right Side: 4" Left Side: 4"
Install 4' Black Chain Link fence with 3 gates
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to beerformed un er t is permit —check all apply:
HVAC L—J Gas Tank DGas Piping _ Shutters a Windows/Doors
FlElectric Plumbing OSprinklers E Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ .1.70_00
S Ft. of First Floor:
Utilities: 17 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Patricia Bruhin
Name: Michael Alderman
Address: 300 Holly Ave
Company: Veterans Fence Contractors Inc
City: Port St Lucie State: FL
Zip Code: 34952 Fax:
Phone No.
Address: 2100 Sw Conant Ave
City: Port St Lucie State: FL
Zip Code: 34953 Fax: 772-879-1009
Phone No. 772-678-2358
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: eddie.alderman@yahoo.com
State or County License: CSC -045563
It value of construction is 52500 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:
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.
f tltl (,f. f
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORID4j STATE OF FLORID
COUNTY OF _�' /-/-(-/C, I t COUNTY OF cl
The for oing instrWent was acknowledged before me The forgoing instrument was acknowledged before me
this day of 1 r?r ✓"c 1 Z6 Eby this `S_ day of 24 by
(Name of person acknowled g Jam- (Name of person acknowledging)
(Signature of Notary Public- State
Personally Known OR
Type of Identifica on ProducedP
Commission No,
Revised 07/15/2014
1t i $I N
z�/.4
of Notary Pub
Personally Known OR I
Type of Identification Produced
Commission No.
• • QST v . _ '�"prn
2 u �ea1a2S m Q
.. v
i 0 10_ '9 dad L�' tom. "d7
`�/ � fjO�biie Uedz • 4�'ti1
'/z.l�JaLi llsis i�om
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS