HomeMy WebLinkAboutFENCE PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
ST. Ll1CIE
yO CI N �Y
F t O R
Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION: ;
Address:5.501 Uad l e Vc
Property Tax ID #: 13 a 500, Qd S,?- 000 7 Lot No.-5 1
Site Plan Name: A►Block No (DI -,-A
Project Name: l►/clrd
DETAILED DESCRIPTION OF WORK:
0
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
2
Cost of Construction: $ 0�3cb�W Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Ptv a
Name: YtAn 0"n
Company:
ct
Address: 1e D)(
City: u, State: J i
Zip Code: I Fax:
Phone No. Sit "223' 3213
Address: -6Q) V1,0-,J I Ul. v�
City: b L-
Zip Code:3y1,Y3
Phone No 77a'3 NQ'
State:
Fax: �
%a-q7
E-Mail: I&/ Al-
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail eh a.Dwl an -Ce
n ce Ln c al M cat • G
State or County License
07yj52'
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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 re our Notice of Commencement.
Signature of Ow r/ ssee/Contractor as Agent for Owner Signature of Con ctor/ icense Holder
STATE OF FLORIDA STATE OF FLOR
COUNTY OF < < L COUNTY OF L t
Sworn o (or affirmed) and subscribed before me of Sworr�to (or affirmed) and subscribed before me of
ysical Presence or Online Notarization _✓Physical Presence or Online Notarization
this Li of �o 2020 by this � '`day of(� (00 2020 by
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�l l h� r A orcA �_ IJ rin A c k yr U
I_itft' v� n ti
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known ��OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature u Iic-c$t®te wdU `a) (Signature P I - tate of Florida )
Notary Public State of Eiorica :-(;i nr,-.,•_ CINDY L ALCHERME
GG 3 3' 7 eea
Commissio �� tit y'o: Commission le�bh3 Commissio 14 �,_N`: Notary Pun�;r .State o` n�al)
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h Nation Notary Ass,. .Arya: Commission ; GG 3563' 7
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Bonded thro h National notaryAss. .
REVIEWS FRONT ZONING SUPERVISOR PLANS ANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20
BOUNDARY SURVEY
vO�
SURVEY NOTES
tatft�E CROSSING INTO RIW
ON SOUTHERLY SIDE OF LOT.
PROPERTY SUPPLIED BY CITY WATER AND SEWER -
Co - CLEANOUT
Wpp - WOOD POWER POLE
KENNETH J OSBORNE
pROFESSgNAL SURVEYOR AND µ.pPERMA'S
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SBORN 2020.09.04
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SURVEYING, LLC
LB #7893
SERVING FLORIDA
6250 N. MLITARY TRAIL, SUITE 102
WEST PAUd BEACH, RL 33407
PHONE (561)640.4800
STATEWIDE PHONE (800)22 4i W7 6
STAIEUM FACSWKE (S00) 7
WEBStiE: Meftu-N"