HomeMy WebLinkAboutBuilding Permit Applicationr J l
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:ORA46i2e 3 6�a1�\� 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 Res
RECEIVED
JUN 21 2018
ST. Lucie County, Permitting
PERMIT APPLICATION FOR: Fence -i
PROPC�SED,IjMPROVEIVIENY LOCATION
Address: 9710 Russo Rd Ft Pierce, FL. 34951
Legal Description: -
Property Tax ID #: 1303-341-0002-000/5 Lot No.
Site Plan Name: Leonhard Resd. Block No.
Project Name:
PIA
Setbacks Front 1 Back:30a Right Sid Left Sidek 2� 0
DETAILED DESCRIPTION OF WORK.
Build a stockade fence as a pool barrier behind the house y� /�i f°� �� M CZ7-
A/44 �G o i=sn✓ c �v 4 �� /l-S Sr¢,eci� v�ctif�-�
CQNSTRUCTION INFORMATION, {
Additional work to be erformed under this permit —check a app y:
F]HVAC Gas Tank Gas Piping Shutters Q Windows/Doors
aElectric 0 Plumbing ❑Sprinklers ElGenerator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: 2 2,6 1.0, S . Ft. of First Floor:
Cost of Construction: $ e) D Utilities: Sewer Eheptic Building Height:
OWNE13%LESSEE
GONRACTOR.
Name Eric Leonhard
Name: Harry Blue
Address-9710 Russo Rd
Company: Harry Blue Builders Inc
City. FT Pierce State:Fl_
Address: 11900 W Midway Rd
Zip Code: 34951 Fax:
City: Ft Pierce State: FL.
Phone N"7,_2, a84 8.56�
Zip Code: 34945 Fax:
E-Mail: 9g_ ;0c6rn
Phone No. 772-284-2856
Fill in fee simple Title Holder on next page ( if different
E-Mail: biggblue718@gmaii.com
State or County License: CBC1250529
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGN
Not
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLEHOLDER: !�_ Not Applicable
Name:
Address:
City:
Zip: Phone:
t
MORTGAGE COMPANY: j Not Applicable
Name:-...,/
Address: -
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Applicatiomis 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.
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
Signa r of Owner/Lessee/Contractor as Agent for Owner
Siahitffrdof Contractor/License Holder
STATE OF FLORIDA I �
uul/
STATE OF FLORID#
�
COUNTY OF �� �
COUNTY OF 'I--
The forgoing instr ent was acknowledge before me
t
The forgo' instru ent was acknowledged before me
day 2011 by
this day of U•A..2_ 20� by
this of —
r
rLz�_
Na a of person making statement
Nam of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type o Iden�� i(� on
Type of Ide ' io
ro c d
rod
( ignature of Notary Public- State of Florida)
ignature of Notary Public- State of Florida )
Commission No. (Seal
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17