HomeMy WebLinkAboutfenceAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:' / Permit Number:
MAR1220?9
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- .c l.uc e ;aartment
- Building Permit Application �r,„�v
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 -
Commercial Residential
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE:
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— MANAddress
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#: � LA OS ® I (0Z _0 Lot No.
Property Tax ID
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Site Plan Name:Block No.
Name:
Project
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Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping —Shutters _ Windows/Doors
_ Electric Plumbing _ Sprinklers _ Generator — Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
I _^ Utilities: Sewer Septic Building Height:
Cost of Construction: $".r.$�JV/ • — —
�H` �.C�.-C- Name: T I
Name
Address. e)Company:
City: r�7i..� r��Qaf .CSC-. State' Address 'kj iA G3 Y�
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Stater
ZiPC ode --7 1 Fax.- city. .1'" , •
Phone No. Zip Code Z% -� Fax:
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E-Mail: Phone No
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Fill in fee simple Title Holder on next page ( if different E-Mail d V i5 I
from the Owner listed above) State or County ticense
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.
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DESIGNER/ENGINEER: — Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
State:
City: State: _ City:
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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
or and oe such
orpply.
that vhichtmay
which is it leaseccon�sult w with applicabletr ct ons vnts arict
Owners Association andwners rrevlewyyour deed for any rlaws
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
Codes and St. Lucie County Amendments.
in accordance with the approved plans, the Florida Building
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
and accessory uses to another non-residential use
accessory structures, swimming pools, fences, walls, signs, screen rooms
"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
YOURLENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF. COMMENCEMENT."
ev.
WITH
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Signature of Owner/ Lessee Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
S�
STATE OF FLORIDA
COUNTY OF '�\.Jett
COUNTY OF <,A<�
The for oing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
day of `P�
this�� day of �� , 20�by
this