HomeMy WebLinkAboutBuilding Permit Applicaiton All APPLIC LE IN 0 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
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'�- z 4.'11,, u :1:14111--7--iummmommmor Building Permit Application RECEIVED j
FEB 2 2 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department ,
2300 Virginia Avenue,Fort Pierce FL 34982 St, Lucie County
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: Fence
PROPOSED IMPROVEMENT LOCATION.:
Address: 705 East Midway Road Fort Pierce, Fl 34982 1
Property Tax ID#: 3402-606-0163-010/6 Lot No.
Site Plan Name: Block No.
Project Name: '
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DETAILED DESCRIPTION OF WORT s-` 7 G„C [1(-•L,F, 1 IlY��B
Chain link fence back yard�aftdr�
-eside. Le7F1- s -3 ' '3 L c e-J&T--- p-01
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CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply: ,
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 14 5 O„ Utilities: _Sewer _Septic Building Height: , _ [
OWNER/LESSEE: CONTRACTOR:
NameJulie Seitzinger Name: ocky
Address: East Midway Road Company:
City: Fort Pierce Florida State:_ Address:
Zip Code: 34982 Fax: City: State:
Phone No.772-201-4233 I Zip Code: Fax:
E-Mail:jlseitzinger@hotmail.com Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more a RECORDED Notice of Commencement is required. I
i
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: � Name:
Address: Address: i
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 represu
sentation that is granting a permit will authorize the permit holder to build thesubject 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.
I 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-residentiall 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
a .
le of Owner/Les on rector a t for caner Signature of Contractor/License Holder
ST' E OF FLORIDA STATE OF FLORIDA
COUNTY OF St (,U q • COUNTY OF
• The forgoing instrument was acknowledged_ efore me The forgoing instrument was acknowledged before me
this 2 day of R6 ,20 f by this day of ,20_ by
vIAWR_.S? .1,17 ncvf a-----
Name
_Name of person making statement.& Name of person making statement.
Personally Known `? OR Produced Identification '— Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced F C,0 L.._ Produced
1
(Signature of Notary Pubic-St te_ofFlnriria 1 _ (Signature of Notary Public-State of Florida)
`SAY pvB�i ELLEN VAUGHN
Commission No. o ate,State(�al)orida-Notary Public commission No. (Seal)
'* '_=', *_ Commission # GG 270079
-,9`ili'QP`? My Commission Expiros
`I e Oetcter 22, 2022
REVIEWSFROM SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER ' REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ley.2/7/19