HomeMy WebLinkAboutBuilding permit application,LL AP�SLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date:
Budding Permit App
lication
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Residential
Phone: (772) 462-1553 Fax: (772) 462-1578 COrYllYl2rGal�
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 349 NE Bracken Road, PSI, FL 34983
C BLK 82 LOT 5 {MAP 34121 S) (OR 3429-856)
Legal Description: RIVER PARK -UNIT 9-PART
Lot No.-
Property Tax ID #: 3419-570-0125-000-9
Block No.
Site Plan Name: Griffith Fence
Project Name: Griffith Fence L ;
� Right Side: � Left Side:
Setbacks Front Z� Sack: Ri g ��-
DETAILED DESCRIPTION OF WORK:
Install 6' High PVC, appx 200 LF with 1 walk gate and 1 double drive gate
CONSTRUCTION INFORMATION:
�tiona war to a er orme un er t �s permit - c ec a app Y:
❑_ HVAC � Gas Tank Gas Piping _Shutters � Windows/Doors
Electric Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq. Ft of Construction:
356.00
Cost of Construction: $ L
S Ft. of First Floor:
Utilities ,n Sewer 0 Septic Building Height:
OWNER/LESSEE:
Name Wynthea Griffith
Address: 349 NE Bracken Road
City: PSL State: FL
Zip Code: 34983 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Michael Alderman
Company: Veterans Fence Contractors Inc
2100 SW Conant Avenue
City: PSL State: FL
Zip Code: 34953 Fax: 772-879-1009
Phone No. 772-678-2358
p-Mail. eddie.aiderman@yahoo.com
State or County License: CBC-045563
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION
Not Applica
DESI
Name:
Address: State:
City: phone:
Zip:
FEE SIMPLE TITLE HOLDER: ._
Not Applicable
Name:
Address:
City: phone:
Zip:
LIEN LAW INFORMATION:
MORTGAGE COMPANY:
Not Applicable
Name:
Address: State:
City: phone:
Zip:—�_—
BONDING COMPANY: --
Not Applicable
Name:
Address:
City:
Zip: _,__.��— Phone:
e issuance of
I certify that no work or installation has commenced prior toehmit will author a the tpermit holder to build the subject structure
Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
St Lucie Countyy.makes no representation that is granting a p
which is in contIEct with any applicable
your cle
structure. Please consult with your Home Owners Association and
e ereview
vagree that I willed , n all respects, perform he work r any restrictions which may Y
In consideration of the granting of this requested permit, I do Y
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications
fences, exe walispsigns screen rooms and accessory uses to another nont f rom undergoing a full concurrency review: room -residential use
accessory structures, swimming p palling twice for
WARNING TO OWNER. Your I�rAeNoRce of Commencementrmu t be recordedencement and posted on�the jobsite
improvements to you property.
before the first inspection. If you intend
t o of in financing,
consult with lender or an attorney before
comryiencin ork or recordin •ur n
Signature
STATE OF FLORID ,�
COUNTY OF
tractor as Agent for Owner
The forgoing instrument VIPs acknowledged before me
this day of f'iZ 20 i �? by
rs
(`.A 1,0,Acg2,,9 fuf
(Name of person acknowledging)
(Signatu4allotary Public- State of Florida )
Personally Known ,[ OR Produced Identification
Type of Identification Produced �1 1
Commission NO ,.0 • � GVST 1��'�i••.
Revised 07/ 15/2014 "� 093623
s `
REVIEWS FRONT ZON�'!"+I ii`�OR
COUNTER REVIE
DATE
COMPLETE
Signature of Contractor/License Holder
STATE OF FLORID
I I
COUNTY OF - � - I
The forgoing instrument was acknowledged before me
thispi day of %%? 20 by
(Name of person acknowledging)
(Signature of Notary Public- to of Florida )
Personally Known OR Produced Identification
Type of identification Produced 1t1 I1!W
��yy µtCI{g�?
AR! .,
Commission No. 7� eal',�M'ssioh• �i
�GST 1;
v ' y OGG 093623
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PLANS VEGETATION SEA TUR�B,
REVIEW REVIEW REVIEW tt�
INITIALS
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