HomeMy WebLinkAboutPermit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 16/14119 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Port Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 13413 NW Wax Myrtle Trail, Palm City, FL 34996
Legal Description: Harbour Ridge Plat #1 Lot #7 (or 3976-1351; 1369 )
Property Tax ID #: 4436-601-0697-000-5
Site Plan Name: O'Boyle Fence
Project Name: O'Boyle Fence
Setbacks Front 35' Back: 30
DETAILED DESCRIPTION OF WORK:
Right Side: 20' Left Side: 20'
Lot No. 1
Block No.
Remove three fence areas (2 on left side Of home and 1 on the right side); Build new privacy fence out
of pressure treated wood and paint
CONSTRUCTION INFORMATION:
Additional work toe pertormed under
this permit — check
a appy:
HVAC Gas Tank
Gas Piping
_ Shutters
Windows/Doors
Electric D Plumbing
oSprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
0Sewer 0Septic
Cost of Construction: $ 7,772.66
Utilities:
Building Height:
OWNER/LESSEE:
Name Hugh & Marianne O'Boyle
Address: 93493 NW Wax Myrtle Trail
City: Palin City State: FL
Zip Code: 34990 Fax:
Phone No. 772-336-8797
F -Mail: hoboyle@mac.com
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
CONTRACTOR:
Name: Stege Rubin
Company: Rubin Custom Homes
Address: 4253 SW High Meadows Ave
City: Palm City State: FL
Zip Code: 34980 Fax: 866-480-7498
Phone No. 772-283-6553 Ext #2
I E -Mail: receptionl.rubincustomhomes@gmail.com
State or County License: CGC1518190
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
5
s nature of Owner/Lessee/Contractor as Agent for owner ignature of Contractor/License rioioer
STATE OF FLORIDAn� STATE OF FLORIDA 1
COUNTY OF �.r� L110'I� COUNTY OF
The forgoing instru int was acknowledged before me The forgoing instrument was acknowledged before me
this /day of C 7746& 24 IV this % day of 20/L by
r~ _
(Name of per n wledging) (dame of pe ackn wledging )
(Signature of Notary Publi -Stat Florida j (Signature of Nota Public- Sta of Florida )
Personally Known OR Pro tification Personally Known OR Produced Identiftca '
Type of Identification P Type of identification Produced
J
�*?�'�r SN snissran�FF U �ibts RR4KrCLLF-Y �
Commission No. = tom �5{3ctob e sanc�Iwo, Commission No J
tnauss
Revised 07115/2014
ZONING
REVIEWS I COUNTER I REVIEW I SUPERVISRIVIEWOR I REVVIIEW NS I VEGETATION
I SE EVIaEWLE I MANGRO
REVIEWVE
DATE
COMPLETE
INITIALS
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENG#NEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
' Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x_Not Applicable
Name: Name:
Add cess: Address:
City: City:
Zip: Phone: 1 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
rin.,nmanrina kxfr%rL- nr riarnrrlinu vniir Notice of Commencement.
5
s nature of Owner/Lessee/Contractor as Agent for owner ignature of Contractor/License rioioer
STATE OF FLORIDAn� STATE OF FLORIDA 1
COUNTY OF �.r� L110'I� COUNTY OF
The forgoing instru int was acknowledged before me The forgoing instrument was acknowledged before me
this /day of C 7746& 24 IV this % day of 20/L by
r~ _
(Name of per n wledging) (dame of pe ackn wledging )
(Signature of Notary Publi -Stat Florida j (Signature of Nota Public- Sta of Florida )
Personally Known OR Pro tification Personally Known OR Produced Identiftca '
Type of Identification P Type of identification Produced
J
�*?�'�r SN snissran�FF U �ibts RR4KrCLLF-Y �
Commission No. = tom �5{3ctob e sanc�Iwo, Commission No J
tnauss
Revised 07115/2014
ZONING
REVIEWS I COUNTER I REVIEW I SUPERVISRIVIEWOR I REVVIIEW NS I VEGETATION
I SE EVIaEWLE I MANGRO
REVIEWVE
DATE
COMPLETE
INITIALS