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HomeMy WebLinkAboutFt Pierce PIFL067 BuildingPermitApplication-Fence-EDCAll APPkCJLI F_ AB1",;i ,; .UST BE COhiPLE i ED FOP APPLICATION i i� 6E ;:?CCuTEC: 1j?' �.ILa(Lo Building Permit APplicadon S2`,>'... cOti-S,11E'r i } X - C a --- --- Re5identip.l- PERMIT TYPE: Fence PROPOSED IMPROVEMENT LOC.ATiON.1. a.ddre55. IR S Cy,gi�rgic "d `vrt PtCrt,? 15r7per;u'dx t;�;< 242&-13�•OtZCi-00'-6 --- -- Site in n ,k _t i S0 lF S r i - B 3 _ ,; T�ierom�:.i.irttca`ions = a�il;t:- ;1,,oie_i Na i : l Crre i,J' P1FLCi- .. ..__---_Ale_c--rAinunicauonc Faulty ... — DETAILED DESCR?PTION OF WORK: installing neiv Pence aioi3.^.d Telecorn-Linicaticns Tower af:n ':01rip-3_ind'area vv _x CONSTRUCTION INFORNIATION: - jd tt'G?d .;v .:.'.. n_ r3ei -red unvcr'h_ ;;-: jt'' -!1 _.. �j,t at a^ ,Cal Gas Tan avlal Sq. P. C.' TtlnS'rit�''.. 2500 Sc. Lcst of Cvn t i y L OWNER/LESSEE: Narns Add,ess 2320 Cascade fiotme Blvd Suite 30CT--------- itv. C:harior e It "p -Ccje. 28206 Fax Prior?e No E-Maip Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: ELECTR .:kL. DESIGN CONSULTANTS LLC r ;r, 1376 SE ,H STREETv^ STJ R T CL ^.`. J4896 ._... <:� - —_— Fax. ----- -- ----- c„`_:-;� , t 440-773-031 1 arlem cow, Licerse CGG 15146E' It ---------- value ot construction is S2500 or more, a RECORDED Notice of Commencement is requires!. If value of HVAC is 57,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL. CONSTRUCTION LIEN LAW INFORMATION: .. _ ___— ______ _. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable Name: -- - Name: _ Address:'-, Address: City %-- State: City. State: Zip: -.:•-= Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: � - - Address; - - - City:_ - - Zips = ----- -- Phone:.--.-::: =.. BONDING COMPANY: Name: Address: City" Zip: — . Phone: X Not Applicable OWNER/ CONTRACTOR AFFIDVIT: A,a sago~ s hereby made _c obtain a per r t to do ine iron: a c installation 3_ ..tiicatec certify that no ,IIiork c•' sta!la.ser. has ccmr anced prior *o the issuance of a permit. �i. ! !iC;G CO 7r~ . •,-, _� .. ' wi-rescri'a:ion ;^c: I-4 gra.-t:ng a perm't',L'i it a A hoFize the per r�-it holder to bu'ld the subject structure which ,s in onrl t applicable Horne Oviners Association rules, )yiaws or and covenants that ^.ay restrict of prohibit such structure. P ea<e rc, ,our Home 0 hers Assoc at`on and review your deed for any ."estrict;crs which ray apply. cons:dera 3or: -;of this requested permit.: do he•eby agree that 14vill. in aii respects, perform .he work in accordance :^ : ; ;Moved plans. the rlcrida & 'wing Codes and St. Luce County Amendments. The folic°r: ng bu,ld•rg permit applicatiors are exempt f-om ur:dergoira a fus concurrency revieev' room additions, accessary structures, swimming pools, fences, '.galls, signs, screen rooms and accessary uses to another nor -residential _ "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." Siglature of O;vnerf Lessee/Contractor as Age^t for Owner Sign ure of Ccn*1rac r� sense Holder STATE OF NCrljiT�� ' Rk?l COUNTY C►F��VVI / ih�'4., - Str e s knowledbefore e v day of��20ge �%ty m Name of person making ,ne,,t. 1111111101 Personally Known OR Produced �'Ve p.wt n Type of ldentificaticc ��� Prgctucee rI tore 0 Notary Public- State of my' I.Wi tmis ' oft Expires ©ratter 7, REVIEWS r RONT ZONING COULTER REVIEW DATE ---------.----- RECEIVED DATE COMPLETED Rev. 2I7T19 NOTARY STATE OF COUNTY OF aY\A The�,pr ing ,-strum t was ackno: riedged before me thisG :,ycf� _...24_)by Ql-irl Ra rFe pf persor making sta etnent- Pe soraliy Known Nooeoe OR Prrducpo ldcntificatior• Type pf loentificanon �c �� JULIE NIKLES PrOdi ed_ m _.� - -.- . m Notary Public 1L' o State of Ohio f:. o My Comm. Expir May 17, 2025 Carolina I - " : ijlgnature € f Notary Public Cci - -ncis:ors No. SUPERVISOR PLANS VEGETAT ON SEA MANGROVE REViE,A, REVaEkv REVIEW REV:E4 REVIEW