HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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- Building Permit Applicati" 3
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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 X
PERMIT TYPE: t)1 16 i - Fenm 6610minl=�
PROPOSED IMPROVEMEN LOCATION:
Address: (6266- A6JA4, Ft PIerct , Fl®ri da 34xSI ..:
Property Tax ID#: I.- Jroa Lot No.
Site Plan Name: Block No.
Project Name: c�t�>fds
DETAILED DESCRIPTION OF WORK: C
Insd1WMW UIF 11 u
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CONSTRUCTION INFORMATION:
Additional work to be performed under.this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors i
_Electric _Plumbing Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction,: Sq. Ft.of First Floor:
00
Cost of Construction:$ Utilities: _Sewer _Septic Building Height:
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OWNER/LESSEE: :-CONTRACTOR:
Name tQC%L' IAl7dletEC
aT dS Name:Tashara Lively
Address:.�0,2(o(p l4f�i114 tOh WdU'- Company.Professional Grade Fence
e ty:_ F ii- Pierce State: Address:470 Martin Road SE
Zip Code. 34qSI Fax: NA `:City: Palm Bay State:FL
PhoneINo. TJ 2- .Z.2�_ �I��,o(o Zip Code:.32909 Fax: (321)312-4787
E-Mail:he 11my 5 [7►rL1ail.c(�ns\ PHone,No�321)749-9884
Fillin feesimple Title Holder o next page(if different :E-Mail Professionalgradefence@yahoo.com
from the Owner listed above) State,or County License 30485 j
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. j
If value of HVAC is$7,500 or more,"a RECORDED Notice of Commencement is required. E
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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 BONDING'COMPANY: . _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone:'
Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is herebyFinade 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 thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and coven ants.that may restrict or prohibit such
structure.Please consult with your.Home Owners Association and review your deed for any restriction s•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 Owner/Lessee/Contractor as Agent for,owner gnat ure of Contractor/License Holder
STATE OF FLORIDA STATE OF FLOIAIDA
COUNTY OF_51 �lUe(e COUNTY OF - bteV60
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 'Jr day of Februaru ,20U by this_day of Febitkru 2026 by.
Aodyg Chv>7Q wdt& a veld
Name of person making sta ., ent. Name of person making statement.
Personally Known OR Produced Identification Personally Known -X OR Produced Identification
Type of Identification Type of Identification
Produced F,� /11/�a �t(111SG Produced
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(Signature o6vNotary Public-State of Florida) o (Signature of a��ry PPPublic-State of Florida) o
LIN � .aA CN
Commission No. ��o���� (Seal) u oo Commission No1�. lVl (Seal) a c N;`.
.. .ny -N
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REVIEWS FRONT - ZONING S E PLANS VEGETATION SEA TURTLE M. AW
COUNTER REVIEW 171FVIV w REVIEW 'REVIEW REVIEW R IM'°�
DATE `
RECEIVED ri
DATE
COMPLETED
Rev.2/7/19