HomeMy WebLinkAboutHalenPermitAppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: P(1C'e
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID #::{ 2J I c� - N1 CO •- rnaow of Lot No. I Q 1 T
Site Plan Name: HnIPll Fefll^;e Block No.
Project Name: Nu ief) i eno-p,
DETAILED DESCRIPTION OF WORK:
I CONSTRUCTION INFORMATION: I
Additional work to be performed underthis permit — check all that apply: F&,-)Ce
Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $34 5c2 . 00
Gas Piping
Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:
Windows/Doors
_ Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
f
CONTRACTOR:
Name n
Name:
Address: I
Company:
Address:
city: State:T1—
Zip Code: Fax:
Phone No.
City. State:}
Zip Code: Fax: r16�-
Phone No � —
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
f I
E-Mail 'XIA10P,C
State or County License l`Kq 11
I va ue o 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:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:_
Address:
City:_
Zip:
Phone:
Applicable
vvvtvcrc/ l.Vn1 I RAN, I UK At FIUVI I: 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.
Inconsideration 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
"WARN9YG TO OWNER: YOUR FAR-URE 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. W YOU INTEND TO OBTAIN MANCIIING, CONSULT
WITH YOUR LENDER OR AN ArrnDIUFV RccnDE DEcnonmr .r....o ....:.r_ ..� �....�.._.._ ,.
Sig of Owner/ Lessee ontractor as Agent for Owner
SI turLrof Contractor/Lice se Holder
STATE OF FLORIDA
STATE OF FLO I A
COUNTY OF
COUNTY OF�
The forgoing instrument was cknowledge before me
this day of Slr,W! r 20J� by
The forgoing mstru ent wa acknowledged before me
thisday
{V F4� �i • i11Yb fY1 F"C!`�
of ,Z_P b Y
y MbPf-C
Name of person making statement.
Name of person making statement.
Personally Known _�Al_ OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signs a of Notary Public-
JULIE SNELL
Sin Notary
( g at a of Nota Public- Stat
o,.F q a
,.•^H;y;..,
a
Commission No. ���. Notary Public -State of Florida
missionp GG 195077
JULIESNELL
Notary Public -States Flo
_
My Comm. Expires Mar 13,202
pmmi55ion No.
Jam. $eaf�
,� Comm.mmissen # GG 1958/
My Expires
Handed through National Notary Ass
.i„���r: Mar 13,
""" Bonded through National Notary
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Ulf.
�--
,� � /ND/fi.V BEND
l Gd :erwJ
10'
ADRON FENCE CO., INC.
OKEECHOBEE, FLORIDA 34972-2337
(800) 282-5172
-- oMid! 95 SGLi' CHINE PAG[-
IRVIS®. FILC. 1 et 1
OKEECHOBEE VERO BEACH SFBRING .IUPITFR STUART BELLE GLADE FORT PIERCE
(963) 763-6255 (772) 562-0022 (863) W."93 (561) 744-1303 (772) 2834540 (561) 824-3419 (772) 465-3890
JOB NAME: - ropn . �n1nr,
JOB ADDRESS: C:�)62 w-1 ^AyoerN6 l nna
r�
MAILING ADDRESS:
EMAIL ADDRESS:
DIRECTIONS:
STYLE FENCE 7 CPPn O L
vu
POOL CODES i AO `SC C P!Y\M
HEIGHT �> FOOTAGE D25Q - Iq - c)IS1
HEIGHT FOOTAGE
LINE POST)-11712
TERMINAL POST J J)-,
[DP I SA OSS
O.C.
TENSION WIRE
BARBEDWIRE Y)0fe
WALK GATE SIZE LL_ FRAME
13! d
WALK GATE SIZE FRAME
WALK GATE POST Ia
CONtlETE
1 :!ah,'•r M I am l(% FRAyE I
DRIVE GATE POST Y0
caNcaeTe
/ GTEATE - SM FRAME
CONCRETE
DRIVE GATE POST
I
CORE DRILUASPHALT
YES
PROP.LINES CLEARED w f
NO
vEs
PROP. MARKS VISIBLE
No
SPECIAL INSTRUCTIONS
I,
DATE: IU 11c:,119
CONTACT lr, 'N A
PHONE: 7Ix 2)0�- lr-0 1
MOBILE:
FAX:
JOB#: IOI51a Hnl O LC
r ?LC
PERMIT #:
.—.;
W
4 VRA �Guzcrl eo"CreAe. p-%Llvld m,Kird „n .,%
Xj3Y\frk WL(rfll
5
(Adron Fence is not responsible for being directed
to dig on top of any unmarked alines.)
CUSTOMER APPROVAL: \ 'Pt Ii L12it
N�t h q
COST $_ ,�` DEPOSIT fib. BALANCE I 00
TERMS '/,D C'n coyn�?1ey,J> 1
THIS PRICE EFFECTIVE UNTIL I I I I S 1
PERSONNEL! [UjVn
INSTALLER DATE
There will be a 2% fee charged
to any debit/credit card payments