No preview available
HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED f2 MCI Date: tkkf Permit Number: oC,�©©J - C 11�C I K -- RECEIVED Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Building Permit Application MAR 0 2 'r020 ST. Lucie County, Permitting Commercial Residential X PERMITTVPE:lnstall fence PROPOSED .IMPROVEMENT LOCATION: - " Address: 3932 SHORESIDE DR. HUTCHINSON ISLAND, FL. 34949 Property Tax ID #: 1423-566-0014-000-2 Lot No. Site Plan Name: TARPON FLATS SUBDIVISION (PB 69-27) LOT 11 (OR 4132-2624) Block No. Project Name: DETAILED DESCRIPTION OF WORK: Install 109' of 4' high metal fence with two outward opening gates. Gates will be self closing with latches mounted 58" above g CONSTRUCTION [NFORMATION: Additional work to be performed under this permit— check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 4 _ Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEE.;. CONTRACTOR." NameTheresa Gibbon Name:SELF Address:3932 Shoreside Dr Company: City: Hutchinson Island, FL State: _ Zip Code: 34949 Fax: Phone No.936-537-4033 Address: City: State:_ Zip Code: Fax: Phone No E-Mail:theresagibbon@gmail.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail State or County License ir vame or construction is , ZDUU or more, a RELURDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. L a©©3- 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 TITLEHOLDER: _ 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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conliict 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 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." Si nature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF LW, (E , COUNTY OF The forgoing instr�+� @nt wwas �fcknowledged before me The forgoing instrument was acknowledged before me this day of N�&VC7'tt 2jZby this _ day of 20_by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of [dent' ' ion Type of Identification Produced ( Produced t(Sitgnatureofry ublic tureof Notary Public- State of Florida) KAREN S. NIELSE __° °dcSt� @d Florida -Notary Pu '= I' mission No. (Seal) - Comiission N GG 2074 �o<?� My Commission Expire IMP 4 PLANS VEGETATION SEA TURTLE MANGROVE REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED �I DATE COMPLETED Rev.