HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:--------- Permit Number:----------
Building Permit Application
Planning and Development Services
Bw/d,ng and Code Regulation OIVlsion
?300 V1rginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial _ Residential'-'
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PERMIT APPLICATION FOR: Fence
PROPOSEn !Ml>R0\11:MENT LC11£ATJON· I' .
Address; 5409 S Indian River Dr, Ft Pierce, FL 34982
3401-604-0003-000-5 Lot No _
PLAT OF S 614.21 FT OF GOVT LOT 1 OF SEC 1-36·40 N 150 1 FT OF S414 11 FT LYG E OF FEC RR Legal Descnption· --IRUO�N�
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AN[) A PT 414 11 rr Nor S LI or GOVT LOT 1 TH N 89 54 59 W ALG N LI 39 67 FT TO POB,TH CONT ALG NI 1200 41fT,THS7742 16 E 141 11 FTTH N 64 34 2S E 69 31 FTTO POB (1 SZ IIC) (O� 3280 1024) Property Tax ID#:
Block No. _
Back: Right Side: Left Side: _
Site Plan Name: ,
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Project Name: 0
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Setbacks Front _
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Install 117' of 4' PVC fence with 1 4' gate and 1 10' DD gate. lnstal/ 157' of 4' chain link fence with 1
8' DD gate. Install 22' of 5' PVC fence.
' fu I CON�UCTIO!'J INfORM�TISJN: .:- ' �
Add1t1onal work to E�rforme� under this permit check alrpul; apply:
OHVAC LJ Gas Tank DGas Piping LJ Shutters D Electric D Plumbing Dsprinklers D Generator
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D Windows/Doors u.,
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Total Sq. Ft of Construction:---------
Cost of Construction: $ 06�3:_7�5 _
S� of First Floor:
Utilities: LJ Sewer D Septic Building Height: _
'OWNER/LESSEE:
Fa,.,. _
Phone No. _
E-Mail: _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Fax: 321-638-0086
E-Mail: spacecoast@superiortenceandra1l.com
State or County License: c':..
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State:£!:__
Name: Todd Parohnc
Company: Superior Fence and Rail
Address: 2778 N Harbor City Blvd #102
City: Melbourne
Zip Code: 03.:.2_9_
3
5 _
Phone No. 321-636-2829
State:�
Name Ian Boykin
Address: 5409 S Indian River Dr
City: Ft Pierce
Zip Code: 03:..4.:.
9
8:_2 _
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUP�LE.MENTAL 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:
l certify that no work or installation has commenced prior to the issuance of a permit.
St Lucie Countfl makes no representation that is grantmg a permit will authorize the germ1t holder to build the subject structure which rs tn con ict with any apphcable Home Owners Association rules, bylaws or an covenants that may restrict or prohibit such structure Please consult with your Home Owners Assocranon and review your dcrd 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 ar.corr:lance with the approved plans, the Florida Aullding 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
commencina work or recordina "Our Notice of Commencement. -
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_<-signature of Owner/ Lessee/Agent Signature of !ontractor/License Holder
STATE OF FLORIDA �Lv.ue,, STATE OF FLORIDA 3+: \ uwV COUNTY OF COUNTY OF
The �mg instru.as acknowledged before me Th��oing inst�was acknowled00efore me
this day of I I , 20 2.DJY this day of l \ , 20 by
• :J'Qtl ro ro vO\ Inf'.) �11.c£.2
(Name of person acknowledging) (a ps gng)
(\, rf, i'f\i l'l "' " .; ,I ,mi - (' 1/\ 'nll' h , n \ : r J ,r,(' /
' i tur of Notary Publl�a1e of Flollda ) (SiB �u�e otarv plJf h'r- State o''t'to da I
P;rsonatly Known� OR Produced ldennfrcatton ___ Pers?;°nally Known�� OR Produced rcennncaucn
Type of ldent1ficat1on Pr duced Type of ldentiflcatio Produced
,.,... _,, .. SH?HA'<i� B�CC�S romrmsncn No . . ;._.,-• . '
STEPHA�l:�m
Commission N • t,'ic. s1�1tiflonca t.'?lm'i Pub\i� . S om::a
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Revised 07/
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE I MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS �