HomeMy WebLinkAboutBuilding Permit AppAII APPLICABTE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
PIonning ond Development Services
Building ond Code Regulation Division
2jOO Virginio Avenue, Fort Pierce FL j4982
Phone: 1772) 462-L553 Fax: (772) 462-1578
Building Permit Application
Commercial _ Residential
PERMIT TYPE: Building - Fence
PROPOSED IMPROVEM ENT LOCATION :
Address:
Property Tax lD #: l3ll - EOo' oorrl. oor"\- 5 Lot No. \
Site Plan Name: Block No. >k
Project Name:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION IN FORMATION:
Additional work to be performed under this permit - check all that apply:
_Mechanical
_ Electric
_ Gas Tank
* Plumbing
_ Gas Piping
_ Sprinklers
_ Shutters _ Windows/Doors
_ Generator _ Roof _ Pitch
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Cost of Construction: S 5335.'"Utilities: _Sewer _Septic Building Height:
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
lf value of HVAC is 57,500 or more, a RECORDED Notice of Commencement is required.
OWNER/LESSEE:CONTRACTOR:
Name Arurr+o.y Snaa," Pann .
Address: 5? lq Jrrcu*,.r5 r-rvree c,llt
City:Fr- P- e*"e StAtE: FL
Zip Code: 3q t (l fax:
PhoneNo. (t z) tr s - zdo)
E.M
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Tashara Lively
Company:Professional Grade Fence
Address:470 Martin Road SE
City: Palm BaY State: FL
ZiP Code: 32909 6x.1. Q21)312-4787
phone Xs (321)7a9-988a
E-M a il professionalgradefence@yahoo.com
State or County 116snsg 30485
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:_ Not Applicable
Name:
Address:
City:State:
Zip:Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City:State:
zip:Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
zip:Phone:
BONDING"COMPANY: _Not Applicable
Name:
Address:
City:
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 Countv makes no representation that is qrantins a Dermit will authorize the oermit holder to build the subiect structure
which is in conflict with anv a'pplicable Home Owiers Aslociation rules, bvlaws or and covenants that mav restrict <ir prohibit such
structure. Please consult with'your Home Owners Association and review-your deed for any restrictions dhich may apply.
ln 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
.,WARTITG TO OWTER: YOUR FAILURE TO RECORD A ilOTICE.OF COTMEITCEiIEITT iIAY RESULT IIU YOUR PAYIIUG
TwlCE FOR IMPROYEiIEIUTS TO YOUR PROPERTY. A I{OTICE OF COIIIMEIIICEiIEITT iIUST BE RECORDEII AITD
POSTED ON THE JOB S]TE BEFORE THE FTRST trrSPECTtON. tF YOU NTEND TO OBTAII FINATUCIIG, CONSUTT
WITH YOUR LETUDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CQUNW OF Sr ./urie
The forgoing instrument was acknowledged before me
this Z5 day of lha t{ ,20 Ll by
Name of person'making
Personally Known _ OR Produced ldent
Type of ldentification
Produced Fl Dr i vt ts ,/ ; tp ,'t s t
Public- State of Florida )
Commission No. lblT)l _ (Seal)
of Conli actor /Licen se Holder
STATE OF FLORIDA
COUNTY Qf erevaro
The forgoing instrument was acknowledged before me
this 2Sdayof I'l'taq ,20r1 by
Name of person making statement.
Personally Known X OR Produced ldentificat
Type of ldentification
Produced t'trr
(Signature g(Notlry Public- State of Florida )
Commission No. bl7) 1
DATE
COMPLETED
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