HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 2
Date: U Permit Number: D-1 03+ Os
� F i lF
NSA
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 Residential
PERMITTYPE:
Site Plan Name: Block No. �O /
_ Project Name:
� - � � .: ..p C- tea.., ��,1 tip. '1 1 y-c n'�,..�" � �� .�4>k� .E�• -:-t .3 ..� rL�. *��- -��"-� �'"i.�
— INSTALLATION OF 126 WOOD STOCKADE FENCE IN THE FRONT OF PROPERTY;
INSTALLATION OF 200 FT OFF 6FT HIGH WOOD STOCKADE FENCE ON LEFT, REAR AND
RIGHT SIDE OF PROPERTY. FENCE WILL BE INSTALLED 10'6" FROM REAR PROPERTY LINE
4 DUE TO DRAINAGE EASEMENT AND 3" FROM LEFT AND RIGHT PROPERTY LINES. THERE IS
f_ (1) 6" GATE 74 FT NORTH OF PROPERTY LINE REAR OF.PROPERTY(AROUND A/C EAST
PROPERTY LINE 120 FT WEST PROPERTY LINE TO EXISTING FENCE.
NO STRUCTURES CAN BE ERECTED WITHIN ANY EASEMENT OR RIGHT OF WAY UNLESS
OTHERWISE APPROVED. *ANY STRUCTURES CONSTRUCTED IN A UTILITY EASEMENT ARE
Adc AT THE RISK AND EXPENSE OF THE OWNER. SHOULD THE UTIILITY NEED TO USE THE =
EASEMENT, THE OWNER WILL BE RESPONSIBLE FOR ITS REMOVAL AT THEIR(THE
OWNER'S) EXPENSE. PLEASE CALL 8-1-1 BEFORE DIGGING.
_Ut�u IL _riumunir, ,z)prinKiers _venerator =Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $_ e�a 1ja �� Utilities: _Sewer Septic Building Height:
WONFROW &MY
Name Name:
Address: 75 Company:
City: 'cs1..- '�PcpLX� State:�_� Address:
Zip "
Code: 3�J�� Fax: City: State:
��
Phone No. _
77� �r 9� Zi,p Code;:;.
E-Mail: 1 ieV5 e@ 40 L.CC1(1)
Fill in fee simple Title Holder on next page(.if different E
from the Owner listed above) State or County License` " = i
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
{
DESIGNER/ENGINEER: ` ~ _'Not Applicable MORTGAGE COMPANY: _Not.Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
r ,
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 Hbme 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 ahy 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
PO STED'OfN .THE JOB SITE'BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBT,RIM FONAfNCIING, CONSULT
=WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT,."
Sign re of Owner/tksd eli ontractor a110
genner ' Signature of-Con'tractor/License Holder
ATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The for oing inst�r rnent was acknowledged before me The forgoing instrument was acknowledged before me
this day of I Y\n_AA'., 20o by this_day of 20_ by
Lit A,120 tAi4,12
Name of person making statemenlP. Name of person making statement.
Personally Known OR Produced Identification Personally Known 0R Produced Identification
Type of Identification Type of Identification
Produced Produced
n ture of Notary Pub c-State bf Florid (Signature of Notary Public-State of Florida }
Commission No. (Seal) Commission No. (Seal)
t10Na
REVIEWS : ,: {OH ' OR PLANS VEGETATION SEATURTLE MANGROVE
U REVIEW REVIEW REVIEW REVIEW
DATE '••FOF�;.•
RECEIVED
DATE'
COMPLETED
ev. ,