HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: -I C1 Permit Number.
Val TO ear
Building Permit Application oepa�m
Planning and Development Services �J�`e dour
Building and Code Regulation Division '
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMITTYPE: Fence
'PROPOSED IMPROVEMENT LOCATION:
Address: 6909 S Indian River Dr
Property Tax ID II: 3412-502-0004-000-3 Lot No. 4
Site Plan Name: Block No.
Project Name, Struve, Laura
DETAILED DESCRIPTION OF WORK:
Install 135'of 6'high PVC fence
Install 11'of 4' high almuminum1 9 wide double drive gate&(1)5'wide gate
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.R of Construction: Sq.Ft.of First Floor:
Cost of construction:$ 6,193.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Laura Struve Name. Geary S.Adams Jr.
Address: 6909 S Indian River Dr company:Adams Fence 2 LLC
City:Ft. Pierce State:R Address-1206 8th St
Zip code:34982 Fax: City: Vero Beach State: FL
Phone No. 772-473-2828 Zip Code: 32962 Fax:
E-Mail: Phone No 772-999-2038
Fill in fee simple Title Holder on next page{if different E-Mail elizabeth a@adamsfencecomTa_ny.com
L--
from the owner listed above) state or county License 27-898-
If value of construction Is$2500 or more,a RECORDED Notice of Commencement is required. a i-1�r7
B value of HVAC Is$7,500 or more,a RECORDED Notice of commencement Is required. v
i
DESIGNER/ENGINEER: _Not Applicable
MORT
GAGE COMPANY, _Not Applicable
Name: Name:
Address: Address: .
City: State: City: State:
Zip: Phone Zip: Phone:
FEESIMPLE 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 E .OB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCIIYG, CONSULT
WITH YOUW
JUMER OR ANTTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
S ature of owner/Lessee/C66tractor as ARM for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Inman River County COUNTY OF Inman River
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 24 day of September .20_LcJ by this 24 day of September 20_ by
Laura Struve Geary Steven Adams,Jr.
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
ProducedProduced
(signature&fAotary Pu ic-State of FI 'da L of Notary Public-State of Florida)
,►!ous•. CATHY DAW FURR
Commission No. 7 �' �'• Nota Pubiic-St t °P ''
(� j• ry Q1ijts n No. °o�: •., euza�giNs
mn My CammComm�Ssiona GG Fxpires Aug 27,32023 Notary Publtc-State of Flood.
.� Commission
„a omm. p res y 4,2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETA VE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
lev.2/7/19
• f.