HomeMy WebLinkAboutBuilding Permit Application All APPUCABIE INFO MUST'.K.COMPLETED FOR APPUCAMON TO BE ACCEPTED 1 '
Date: 3/10/21. Permit Numberr
Building Permit APpl�caton
Planning ondDevelopmentServices
Bu(Jd.ing and Code Regulation>Divulon
2300 VW0ipfa:Avenue,,Fort Pierce FL 34982
Phone:(172)4624553 Fax:(772)462-1579 Commercial Residential X.
RERMIT TYPE:
Fence
e
PROp�?S D Ii1tIPROVEMENT LOIC'MN
Address:
PropertyTax 1D# 1301-608-008r;-n10-2 Lot No. 1.2
Site Plan Name:. Block No.
Project Name: Capcar..
DETAItED-DESCRIPTION OF WORKc,
install 4'high black chain link fence(1)4'wide walk gate
"this is a pool barrier fence"
CONSTRUCTION INFORMATION: ie
.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:
Cost of Construction:$, 2,344.00 Utilities Seger Septic Building Height:
01lvk!wi E$sEE: CONTRACTOR:
Name Cindy Kapcar Name: . Geary.S. Adams Jr.
Address:8204 Pao Robles Blya Company::Adamsfence:2 LLC
city.- Ft. Pierce State:EL Address:1206 8th St
Zip Code::34951 . Fax: city: Verb BeachState.-FL
Phone No.772-453-8534. Zip Code:.32962 Fax:
&Mail: ckancar0hallsouth.net Phone No .772-999=2038
Fill In fee simple Title Holder on next page(If different E-Main eiizabeth -adam fencecompany.com
from the_Owner listed,above) State or County Ucense ZZQ78
if value of eanstruction is$2500 er more,a RECORDED Notice of Commencement is.requiredo
If value of[i1PAC is$7,500 or more,a RECORDED'Natice of Commencement is required.
5UPPLEMENTAL CONSTiitJCTION UEM IA1N'INFORMAll N.
DESIGNS, ENGINEERe _NotApplicable MORTGAGE COMPANY: ^Not Applicable
Name: . Name:
Address:`.. .. Address:
City: ;State: City: State
Zip:. Phone Zip: Phone:
FEE,SIMPLETITlE"HOL ER. Not:Appliceble BONDIENGcoTI(iPAN.V NotApptica6le. -
�.
,dame: Name:.
Address: Address: .. .
City Citys
Zip• Phone: Zipr. Phone
OWNER/CONTRACTOKAFFIDViT,Application is hereby"made.to obtain a permlt.to do the work'and instaliation as:indicated.
I certffy`that nowark:or installation has comr►ienced prior to the;issuance of a-pemtit.
St.Lutletounty 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 Assoc ation.rules,bylaws.or and covenants that may restrict or:prohibitsuch
structure.-Please consult with.your'HoMe Owners AOociatloh:and,reVidW yopr deed:for anyrdMictions,which may-apply.
in consideratlimbf the'granting,of.this requested permit,I do hereby agree that f will,in all:respects,perform the.work
in accordance'withahe approved plans,the Florida;Buitding Codes and;5t:Curie County A.mendments:
The followsng buiidl ng;permit applications are exempt from undergoing a full:concurrency review:room additions,accessoryatructures,.swimming pools;fences,luaus, igns,.screen;rooms and accessory uses to another non-residential;use
"WARNIN TO OWNER.:YOUR.,FAILURE,TO.,RECORD A NOTICIE OF CONME(NCEMENT MAY.RESULT 8lt'YOItiR PAY*q
*Id FOR MWROVENENTS TO YOUR.PROPERTY,A NOTICE.OF COMMENCEMENT MUST BE RECOROED AND
P057EO O THE JOB tfflli BEFORE THE FIRST I1450E010N:IF YOU INTEND TO OBTAIN FINANCING _CONSULT
WITH YOUR LENDER OR AN!ATTORNET..SORE RECORDING YOUR NOTICE OF COMMENCEMENT."'
Geaa S Adams Geary S Adams
Signature-of Owner/Jesse Contra o.as Agent for Owner Signature of ntra r/License'Holder
STATE OF FLORIDA STATE OF FLORI®A
CQUN7Y'OF1(�in_Bi�pr COUNTY OF Indian River.
The fo�$oing:instrument was acknowledged b. re me The forgoing Instrument was,acknowledged befute;me
this_.day of...AR HI ,2Q j•` ,.. � this�l day of April .2o2i by
____
S `
r�-•Y-�
Name of person making statement. Name .
of person making`statement.
r
Personaily:Known .✓ OR Produced ldent ratio Personally Knovun OR Produced>tde i
Type of Identification .T, 'Type of tdentiflcation a a;
Produced. Produced6
f�
(Signature of N Public-.State of Florida o (Signature of WtaW Public:State of Florida` a '
Commission No (Seal} g,; Commission ikoQ9 3s35 - { Q r
c� n
REVIEWS FRONT ZONING SUPERVISOR' PLANS VEGETATION SEA TURTLE' It>�R E
COUNTER_ REVIEW REVIEW REVIEW REVIEW REVIEW ROE;
DATE.
RECEIVED
: .:.DATE: _
COMPLETED
ev:-