Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date. 06/17/2019 Permit Numberf� D [' RECEIVE® Building Permit ApplicaJUN 1 7 2019Planning and Development Services ting Department Building and Code Regulation Division ucie Count FL 2300 Virginia Avenue,Fort Pierce FL 34982 Y, Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT TYPE: PROPOSED imPROVEMENT`LOCATIOW Address: 3805 S Indian River Drive `� Property Tax ID#: CARD'S S/D LOT 1 (OR 4070-2136) ZS ©��V V �1+ Lot No.1 Site Plan Name: Block No. Project Name: Backyard Fence DETAILED DESCRIPTION,OF;WORK: We will self install a total of 329 Feet of 6 foot high fencing at the S and W perimeter of the property.216 Feet along the South Border and 113 Feet along the west border. The fence will be located within the property lines. 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 � incqr Total S#;:,Ft of Construction: 0 22-1 Z✓ r. Sq. Ft. of First Floor: 0 Cost of Construction:* Utilities: _Sewer _Septic Building Height: 61 OUVNER/LESSE-E CONTRACTOR: Name Can Nguyen/Anh Thu Nguyen Name:None-Self Install Address:3805 S Indian River Drive Company: City: Fort Pierce State:_ Address: Zip Code: 34982 Fax: City: State: 7869063212 Phone No. Zip Code: E-Mail:anhthu.nguyen.usa@gmail.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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: X 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: 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 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." Signature of Ownerff e/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The for oing in rum nt was acknowledg efore me The forgoing instrument was acknowledged before me this day o 201by this day of 20_ by 4k e-r) Name of persoVnaki g st teInt. Name of person making statement. Person own OR Produced Identification Personally Known OR Produced Identification Type of Identifi t'on Type of Identification Produced C Produced ( ignature of N t,ry Public-State of Flo ' a ) (Signature of Notary Public-State of Florida) Commission No. AUDREYB."WREY Commission No. (Seal) MY COMMISSION#GG 300817 ,Tz EXPIRES:March 6,2023 ••:,0 F�,�•� Ban led Thru Notary Public I IDderynitiors REVIEWS =M7l7T`STTMVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.